Organization
PEDIATRIC AFFILIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA IANNACCONE (PRACTICE ADMINISTRATOR)
(732) 341-5180
Entity
Organization
Contact information
Practice address
40 BEY LEA ROAD, SUITE B203, TOMS RIVER, NJ 08753
(732) 341-0720
(732) 244-6842
Mailing address
40 BEY LEA ROAD, SUITE B203, TOMS RIVER, NJ 08753
(732) 341-0720
(732) 244-6842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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