Bloomfield Pediatrics,P.A. in Bloomfield - Adolescent Medicine

Bloomfield Pediatrics,P.A. - NPI 1831215896

Bloomfield Pediatrics,P.A. is a Adolescent Medicine in Bloomfield, New Jersey. Bloomfield Pediatrics,P.A. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Bloomfield Pediatrics,P.A. is 1831215896. The last update date is 2012-04-02.

Bloomfield Pediatrics,P.A.'s current location address is 329 Belleville Avenue, Bloomfield, New Jersey. You can contact this provider via phone number 9737430202 and fax number 9737430777. The mailing address for Bloomfield Pediatrics,P.A. is 329 Belleville Avenue, Bloomfield, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bloomfield Pediatrics,P.A.
Address 329 Belleville Avenue, Bloomfield, New Jersey
Phone Number 9737430202
Fax Number 9737430777
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Lopez-Maslak Retiracion Edna
Credentials M.D.
Telephone Number 9737430202

NPI Number Detail

NPI Number 1831215896
Provider Enumeration Date 2007-03-22
Last Updated Date 2012-04-02

Provider Mailing Address Detail

Address 329 Belleville Avenue
City Bloomfield
State New Jersey (NJ)
Post Code 70035902
Phone Number 9737430202
Fax Number 9737430777

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No MA065388
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8148309 NJ --

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FAQs about Bloomfield Pediatrics,P.A.

What is the Bloomfield Pediatrics,P.A.'s 1831215896?

The Bloomfield Pediatrics,P.A.'s NPI (National Provider Identifier) Number is 1831215896. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Bloomfield Pediatrics,P.A. located?

The Bloomfield Pediatrics,P.A. is located at 329 Belleville Avenue, Bloomfield, NJ 70035902.

What is the area of specialization for Bloomfield Pediatrics,P.A., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bloomfield Pediatrics,P.A. is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.

On what date did the Bloomfield Pediatrics,P.A. receive its 1831215896 assignment from the Centers for Medicare & Medicaid Services?

The Bloomfield Pediatrics,P.A. was assigned its 1831215896 by the Centers for Medicare & Medicaid Services on 2007-03-22.

As of what date were the Bloomfield Pediatrics,P.A.'s details last updated?

The information pertaining to the Bloomfield Pediatrics,P.A., including its address, specialty, and other details, was most recently updated on 2012-04-02.

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