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ETHEL AND RAPHAEL PEDIATRICS NPI 1124282330


NPI Information

NPI: 1124282330
Provider Name: ETHEL AND RAPHAEL PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1405 HIGHWAY 35
SUITE 104
OCEAN, NJ
ZIP 07712
Phone: (732) 531-2200
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ETHEL AND RAPHAEL PEDIATRICS is a pediatrics in Ocean, NJ. The provider is 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ETHEL AND RAPHAEL PEDIATRICS NPI is 1124282330. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1405 HIGHWAY 35
SUITE 104
OCEAN, NJ
ZIP 07712-532
Phone: (732) 531-2200
Fax: (732) 531-2900

The provider's authorized official is Olukemi Omotoso .
The authorized official title is Owner and has the following contact phone number (732) 531-2200.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 7/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics25MA07961200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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