Organization
OAK TREE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT C. DEARDEN MD (OWNER)
(609) 646-2020
Entity
Organization
Contact information
Practice address
1601 TILTON RD, NORTHFIELD, NJ 08225-1877
(609) 646-2020
(609) 484-8353
Mailing address
1601 TILTON RD, NORTHFIELD, NJ 08225-1877
(609) 646-2020
(609) 484-8353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04788700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010711
AETNA
NJ
01
—
0822286001
AMERIHEALTH
—
01
—
1056504
HORIZON NJ HEALTH
NJ
05
—
3433501
—
NJ
01
—
91001676201
AMERICHOICE
—
01
—
P377671
OXFORD
NJ
Enumeration date
11/20/2008
Last updated
11/20/2008
Update your record
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