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Organization

PEDIATRIC EDEN L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAHLIA HALL M.D. (PHYSICIAN)
(973) 376-9000
Entity
Organization

Contact information

Practice address
241 MILLBURN AVE, SUITE B, MILLBURN, NJ 07041-1739
(973) 376-9000
(973) 376-7610
Mailing address
241 MILLBURN AVE., SUITE B, MILLBURN, NJ 07041
(973) 376-9000
(973) 376-7610

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA072666
NJ

Other

Enumeration date
09/08/2009
Last updated
05/31/2013
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