Pedi Doc, P.a.

NPI 1073538658 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1073538658
Enumeration Date 07/13/2006
Last Updated 03/22/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BERNIER BERNIER
Position MEDICAL DIRECTOR
Phone (732) 697-1600
Fax
Practice Location
205 SMITH ST
SUITE D
PERTH AMBOY NJ, 08861-4323, US
Phone (732) 697-1600
Fax
Business Location
22 BALL ST
SUITE 100
IRVINGTON NJ, 07111-3521, US
Phone (973) 371-1600
Fax
Toxanomy
Taxonomy Code 305R00000X
License State New Jersey
License Number 25MA05388700
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According to our database, Pedi Doc, P.a. NPI is 1073538658, taxonomy code is 305R00000X and license number is 25MA05388700, license state is located at New Jersey. Pedi Doc, P.a. physically located at 205 Smith St, Perth Amboy NJ, 08861-4323. NPI Number 1033115704 has the healthcare provider type.

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1073538658 NPI number is provided on an as is basis without warranty of any kind. 1073538658 is maintained by the National Plan & Provider Enumeration System. The contents of Pedi Doc, P.a. are for informational purposes only.