Organization
KOALA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIONA PAKONIS MD (PHYSICIAN)
(973) 361-4900
Entity
Organization
Contact information
Practice address
121 CENTER GROVE RD STE 15, RANDOLPH, NJ 07869-4453
(973) 361-4900
(973) 361-1842
Mailing address
121 CENTER GROVE RD STE 15, RANDOLPH, NJ 07869-4453
(973) 361-4900
(973) 361-1842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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