Quality Care Pediatrix

NPI 1639251804 - Pediatrics - 208000000X

NPI Details
NPI 1639251804
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name IBILOLA IBILOLA
Position AAD DIRECTOR
Phone (973) 926-4400
Fax (973) 926-4660
Practice Location
88 CHANCELLOR AVE
NEWARK NJ, 07112, US
Phone (973) 926-4400
Fax (973) 926-4660
Business Location
88 CHANCELLOR AVE
NEWARK NJ, 07112, US
Phone (973) 926-4400
Fax (973) 926-4660
Toxanomy
Taxonomy Code 208000000X
License State New Jersey
License Number MA61110
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According to our database, Quality Care Pediatrix NPI is 1639251804, taxonomy code is 208000000X and license number is MA61110, license state is located at New Jersey. Quality Care Pediatrix physically located at 88 Chancellor Ave, Newark NJ, 07112. NPI Number 1033115704 has the healthcare provider type.

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1639251804 NPI number is provided on an as is basis without warranty of any kind. 1639251804 is maintained by the National Plan & Provider Enumeration System. The contents of Quality Care Pediatrix are for informational purposes only.