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Organization

COMPREHENSIVE PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AIJUAN WANG MD (PHYSICIAN)
(731) 221-6870
Entity
Organization

Contact information

Practice address
2 LINCOLN HWY STE 500, EDISON, NJ 08820-3904
(732) 516-9868
(732) 516-9869
Mailing address
2 LINCOLN HWY STE 500, EDISON, NJ 08820-3904
(732) 516-9868
(732) 516-9869

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0035092
NJ
Enumeration date
02/13/2017
Last updated
11/07/2024
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