Organization
PASSAIC PEDIATRICS II PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL ALMANZAR MD (OWNER)
(973) 458-8000
Entity
Organization
Contact information
Practice address
913 MAIN AVE, PASSAIC, NJ 07055-8512
(973) 458-8000
(973) 458-8425
Mailing address
913 MAIN AVE, PASSAIC, NJ 07055-8512
(973) 458-8000
(973) 458-8425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06599400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044245
—
NJ
05
—
0045253
—
NJ
05
—
0083691
—
NJ
05
—
8220721
—
NJ
05
—
8407304
—
NJ
Enumeration date
05/26/2006
Last updated
06/05/2008
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