Bayshore Pediatric Association Llc in Holmdel - Adolescent Medicine
Bayshore Pediatric Association Llc - NPI 1720109952
Bayshore Pediatric Association Llc is a Adolescent Medicine in Holmdel, New Jersey. Bayshore Pediatric Association Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Bayshore Pediatric Association Llc is 1720109952. The last update date is 2020-08-22.
Bayshore Pediatric Association Llc's current location address is 717 N Beers St, Holmdel, New Jersey. You can contact this provider via phone number 7328880010 and fax number 7328880012. The mailing address for Bayshore Pediatric Association Llc is 717 N Beers St, Holmdel, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bayshore Pediatric Association Llc |
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Address | 717 N Beers St, Holmdel, New Jersey |
Phone Number | 7328880010 |
Fax Number | 7328880012 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OPERATING |
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Authorized Official Name | Engel Duck Jennifer |
Credentials | M.D. |
Telephone Number | 7328880010 |
NPI Number Detail
NPI Number | 1720109952 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 717 N Beers St |
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City | Holmdel |
State | New Jersey (NJ) |
Post Code | 77331524 |
Phone Number | 7328880010 |
Fax Number | 7328880012 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 2080A0000X |
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. |
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What is the unique 10-digit identification code issued to Bayshore Pediatric Association Llc by the Centers for Medicare & Medicaid Services?
The Bayshore Pediatric Association Llc has been assigned the NPI (National Provider Identifier) 1720109952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Bayshore Pediatric Association Llc?
The Bayshore Pediatric Association Llc is physically situated at 717 N Beers St, in the city of Holmdel, state of NJ, with the postal code 77331524.
What is Bayshore Pediatric Association Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bayshore Pediatric Association Llc is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
On what date did Bayshore Pediatric Association Llc receive its 1720109952 assignment from the Centers for Medicare & Medicaid Services?
The Bayshore Pediatric Association Llc was assigned its 1720109952 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bayshore Pediatric Association Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bayshore Pediatric Association Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.