Organization
NEW KINGDOM PEDIATRICS LLC
Active
Organization
NEW KINGDOM PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ZAJAC MD (CEO)
(952) 412-4229
Entity
Organization
Contact information
Practice address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Mailing address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
44503
MN
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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