Organization
UNION COUNTY PEDIATRICS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VISHAL GANDHI (MANAGER)
(908) 353-5750
Entity
Organization
Contact information
Practice address
817 RAHWAY AVE, ELIZABETH, NJ 07202-2212
(908) 353-5750
(908) 349-3064
Mailing address
817 RAHWAY AVE, ELIZABETH, NJ 07202-2212
(908) 353-5750
(908) 349-3064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03959800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135267
—
NJ
Enumeration date
11/07/2007
Last updated
11/07/2007
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