Organization
PEDIATRIC ENDOCRINOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH BURTMAN MD (DOCTOR/OWNER)
(201) 871-4680
Entity
Organization
Contact information
Practice address
2 DEAN DR STE 2, TENAFLY, NJ 07670-2870
(201) 871-4680
(201) 871-3815
Mailing address
2 DEAN DR STE 2, TENAFLY, NJ 07670-2870
(201) 871-4680
(201) 871-3815
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA10140100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679866255
UHC, OXFORD, AETNA, HORIZON, CIGNA, AMERIHEALTH
—
Enumeration date
01/08/2018
Last updated
01/08/2018
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