Organization
ESSEX PEDIATRICS & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE BERNARD ESQUERRE MD (MEDICAL DIRECTOR)
(973) 412-7700
Entity
Organization
Contact information
Practice address
654 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
(973) 412-7700
(973) 412-7703
Mailing address
PO BOX 529, BELLEVILLE, NJ 07109-0529
(973) 412-7700
(973) 412-7703
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25MA03786800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459208
—
NJ
Enumeration date
06/24/2016
Last updated
06/24/2016
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