Pediatric Specialties, Pa in Hackensack - Neuromusculoskeletal Medicine, Sports Medicine
Pediatric Specialties, Pa - NPI 1699888065
Pediatric Specialties, Pa is a Neuromusculoskeletal Medicine, Sports Medicine in Hackensack, New Jersey. Pediatric Specialties, Pa practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Pediatric Specialties, Pa is 1699888065. The last update date is 2020-08-22.
Pediatric Specialties, Pa's current location address is 90 Prospect Ave, Hackensack, New Jersey. You can contact this provider via phone number 2013424001 and fax number 2013429569. The mailing address for Pediatric Specialties, Pa is 90 Prospect Ave, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Specialties, Pa |
|---|---|
| Address | 90 Prospect Ave, Hackensack, New Jersey |
| Phone Number | 2013424001 |
| Fax Number | 2013429569 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Harlow Joseph Paul |
| Credentials | MD |
| Telephone Number | 2013424001 |
NPI Number Detail
| NPI Number | 1699888065 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 90 Prospect Ave |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 76011909 |
| Phone Number | 2013424001 |
| Fax Number | 2013429569 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
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Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pediatric Specialties, Pa by the Centers for Medicare & Medicaid Services?
The Pediatric Specialties, Pa has been assigned the NPI (National Provider Identifier) 1699888065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Pediatric Specialties, Pa's physical address?
The Pediatric Specialties, Pa is physically located at 90 Prospect Ave, in the city of Hackensack, NJ, with the postal code 76011909.
What is Pediatric Specialties, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pediatric Specialties, Pa is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy code that classifies this field of practice is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699888065 to Pediatric Specialties, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1699888065 to Pediatric Specialties, Pa on 2006-08-17.
As of what date were the details pertaining to Pediatric Specialties, Pa last refreshed?
The information related to the Pediatric Specialties, Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.