Organization
AGAPE PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN BRUCE WALCOTT M.D. (DIRECT OWNER)
(973) 673-6311
Entity
Organization
Contact information
Practice address
185 CENTRAL AVE, SUITE 401, EAST ORANGE, NJ 07018-3332
(973) 673-6311
(973) 673-6511
Mailing address
185 CENTRAL AVE, SUITE 401, EAST ORANGE, NJ 07018-3332
(973) 673-6311
(973) 673-6511
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA59554
NJ
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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