Organization
EVERGREEN PEDIATRICS SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R SCOTT MD (PRESIDENT)
(919) 425-1565
Entity
Organization
Contact information
Practice address
1 BAY AVE, EVERGREEN PEDIATRIC SOLUTIONS, PC, MONTCLAIR, NJ 07042-4837
(973) 237-5795
(919) 425-0478
Mailing address
3114 CROASDAILE DR STE 200, EVERGREEN PEDIATRIC SOLUTIONS, PC, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079481
—
NJ
Enumeration date
01/03/2006
Last updated
05/27/2009
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