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Organization

QUALITY CARE PEDIATRIX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IBILOLA IGHAMA-AMEGOR MD (AAD DIRECTOR)
(973) 926-4400
Entity
Organization

Contact information

Practice address
88 CHANCELLOR AVE, NEWARK, NJ 07112
(973) 926-4400
(973) 926-4660
Mailing address
88 CHANCELLOR AVE, NEWARK, NJ 07112
(973) 926-4400
(973) 926-4660

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA61110
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6467105
NJ
Enumeration date
10/19/2006
Last updated
08/22/2020
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