Organization
WESTFIELD PEDIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANNE BOISSONNEAULT (BILLING MANAGER)
(908) 232-8077
Entity
Organization
Contact information
Practice address
532 E BROAD ST, WESTFIELD, NJ 07090-2116
(908) 232-8077
(908) 232-8447
Mailing address
532 E BROAD ST, WESTFIELD, NJ 07090-2116
(908) 232-8077
(908) 232-8447
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2722402
—
NJ
Enumeration date
01/09/2007
Last updated
07/21/2022
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