Sussex County Pediatric Associates
Clinic/Center, Medical Specialty in Montague, NJ. Organization (NPI-2).
NPI number1114071024
StatusActive
Last updated in NPPESJan 17, 2008
Details
- NPI
- 1114071024
- Entity type
- Organization (NPI-2)
- Legal business name
- Sussex County Pediatric Associates
- Organization subpart
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Jan 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
2 Myrtle DriveMontague, NJ 07827
Phone 973-293-7579
Mailing address
2 Myrtle DriveMontague, NJ 07827
Phone 973-293-7579
Authorized official
James Porter
Treasurer
9732937579
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