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Organization

AZZARITI, KOLSKY PEDIMEDICA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE M. AZZARITI MD (PRESIDENT)
(201) 291-2323
Entity
Organization

Contact information

Practice address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 692-1661
(201) 692-9219
Mailing address
870 PALISADE AVE, STE 204, TEANECK, NJ 07666-3419
(201) 692-1661
(201) 692-9219

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06103000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
628804
NJ
Enumeration date
08/09/2005
Last updated
08/04/2008
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