Passaic Pediatrics Pa in Passaic - Pediatrics

Passaic Pediatrics Pa - NPI 1942384888

Passaic Pediatrics Pa is a Pediatrics in Passaic, New Jersey. Passaic Pediatrics Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Passaic Pediatrics Pa is 1942384888. The last update date is 2012-02-09.

Passaic Pediatrics Pa's current location address is 298 Passaic Street, Passaic, New Jersey. You can contact this provider via phone number 9732498100 and fax number 9732498110. The mailing address for Passaic Pediatrics Pa is 298 Passaic Street, Passaic, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Passaic Pediatrics Pa
Address 298 Passaic Street, Passaic, New Jersey
Phone Number 9732498100
Fax Number 9732498110
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD-OWNER-P
Authorized Official Name Camilo Antonio
Credentials MD
Telephone Number 9732498100

NPI Number Detail

NPI Number 1942384888
Provider Enumeration Date 2006-10-25
Last Updated Date 2012-02-09

Provider Mailing Address Detail

Address 298 Passaic Street
City Passaic
State New Jersey (NJ)
Post Code 7055
Phone Number 9732498100
Fax Number 9732498110

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 25MA06599400
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44245 NJ --
8407304 NJ --
8220701 NJ --
117056 NJ --
8407509 NJ --
44253 NJ --

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FAQs about Passaic Pediatrics Pa

What is the Passaic Pediatrics Pa's unique identification number?

The Passaic Pediatrics Pa has been assigned the NPI (National Provider Identifier) Number 1942384888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Passaic Pediatrics Pa?

The Passaic Pediatrics Pa is situated at 298 Passaic Street, in the city of Passaic, state of NJ, with the zip code 7055.

What is Passaic Pediatrics Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Passaic Pediatrics Pa is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Passaic Pediatrics Pa receive the assignment of its 1942384888 from the Centers for Medicare & Medicaid Services?

The Passaic Pediatrics Pa was issued its 1942384888 by the Centers for Medicare & Medicaid Services on 2006-10-25.

When was the Passaic Pediatrics Pa's information last updated?

The Passaic Pediatrics Pa's information was last updated on 2012-02-09.

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