Organization
MTM PEDIATRICS, LLC
Active
Other names
Stepping Stone Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA THERESA MICALE DO (PRESIDENT)
(732) 280-6455
Entity
Organization
Contact information
Practice address
3350 HIGHWAY 138, BUILDING 2, SUITE 126, WALL TOWNSHIP, NJ 07719-9693
(732) 280-6455
(732) 280-6456
Mailing address
3350 HIGHWAY 138, BUILDING 2, SUITE 126, WALL TOWNSHIP, NJ 07719-9693
(732) 280-6455
(732) 280-6456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/07/2006
Last updated
08/13/2008
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