Organization
HEALTHY KIDS PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL GARRIPOLI PEDALINO DO (OWNER/MANAGING MEMBER)
(844) 437-5455
Entity
Organization
Contact information
Practice address
675 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(844) 437-5455
Mailing address
675 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(844) 437-5455
(862) 238-7454
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MB07995400
NJ
Other
Enumeration date
11/23/2015
Last updated
07/24/2020
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