Organization
ROSEVILLE PEDIATRIC CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PONCIANO PALMIERY JR. M.D. (PRESIDENT)
(973) 483-5529
Entity
Organization
Contact information
Practice address
500 ORANGE ST, SUITE 304, NEWARK, NJ 07107-2944
(973) 483-5529
(973) 481-0754
Mailing address
500 ORANGE ST, SUITE 304, NEWARK, NJ 07107-2944
(973) 483-5529
(973) 481-0754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA034791
NJ
Other
Enumeration date
02/23/2007
Last updated
12/03/2010
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