Organization
NORTH JERSEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELE T KELLER (PRACTICE MANAGER)
(201) 703-5590
Entity
Organization
Contact information
Practice address
17-10 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2324
(201) 703-5590
(201) 703-5533
Mailing address
17-10 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2324
(201) 703-5590
(201) 703-5533
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
05/24/2011
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