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PEDIATRICS OF SOUTH BRUNSWICK PA NPI 1972565356


NPI Information

NPI: 1972565356
Provider Name: PEDIATRICS OF SOUTH BRUNSWICK PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D0123933

Address:
395 RIDGE RD
SUITE 6
DAYTON, NJ
ZIP 08810
Phone: (732) 274-2727
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PEDIATRICS OF SOUTH BRUNSWICK PA is a pediatrics in Dayton, 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. PEDIATRICS OF SOUTH BRUNSWICK PA NPI is 1972565356. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

395 RIDGE RD
SUITE 6
DAYTON, NJ
ZIP 08810-398
Phone: (732) 274-2727
Fax: (732) 274-1662

The provider's authorized official is Thomas A Genco .
The authorized official title is MD OWNEROwner and has the following contact phone number (732) 274-2727.

The CLIA number assigned to this NPI record is 31D0123933 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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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