Organization
RIVERSIDE PEDIATRIC GROUP, PC
Active
Other names
Riverside Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ZEYAD BAKER MD (PRINCIPAL)
(551) 257-7038
Entity
Organization
Contact information
Practice address
228 FRANKLIN AVE, NUTLEY, NJ 07110-4700
(973) 542-8740
(973) 542-2523
Mailing address
38 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2925
(551) 257-7038
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/15/2017
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