Roseville Pediatric Care Center, P.A. in Newark - Pediatrics

Roseville Pediatric Care Center, P.A. - NPI 1972638278

Roseville Pediatric Care Center, P.A. is a Pediatrics in Newark, New Jersey. Roseville Pediatric Care Center, P.A. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Roseville Pediatric Care Center, P.A. is 1972638278. The last update date is 2010-12-03.

Roseville Pediatric Care Center, P.A.'s current location address is 500 Orange St, Newark, New Jersey. You can contact this provider via phone number 9734835529 and fax number 9734810754. The mailing address for Roseville Pediatric Care Center, P.A. is 500 Orange St, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Roseville Pediatric Care Center, P.A.
Address 500 Orange St, Newark, New Jersey
Phone Number 9734835529
Fax Number 9734810754
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Palmiery Ponciano
Credentials M.D.
Telephone Number 9734835529

NPI Number Detail

NPI Number 1972638278
Provider Enumeration Date 2007-02-23
Last Updated Date 2010-12-03

Provider Mailing Address Detail

Address 500 Orange St
City Newark
State New Jersey (NJ)
Post Code 71072944
Phone Number 9734835529
Fax Number 9734810754

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MA034791
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Roseville Pediatric Care Center, P.A.

What is the unique 10-digit identifier code assigned to Roseville Pediatric Care Center, P.A. by the Centers for Medicare & Medicaid Services?

The Roseville Pediatric Care Center, P.A. has been issued the NPI (National Provider Identifier) 1972638278 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Roseville Pediatric Care Center, P.A. is located?

The Roseville Pediatric Care Center, P.A. is situated at the following address: 500 Orange St, Newark, NJ, 71072944.

What is the Roseville Pediatric Care Center, P.A.'s specialty and taxonomy code?

The Roseville Pediatric Care Center, P.A.'s specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Roseville Pediatric Care Center, P.A. receive its 1972638278 assignment from the Centers for Medicare & Medicaid Services?

The Roseville Pediatric Care Center, P.A. was assigned its 1972638278 by the Centers for Medicare & Medicaid Services on 2007-02-23.

As of what date were the Roseville Pediatric Care Center, P.A.'s details last updated?

The information pertaining to the Roseville Pediatric Care Center, P.A., including its address, specialty, and other details, was most recently updated on 2010-12-03.

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