Somerset Pediatric Group, LLC
Pediatrics in Raritan, NJ. Organization (NPI-2).
NPI number1306922992
StatusActive
Last updated in NPPESJun 4, 2021
Details
- NPI
- 1306922992
- Entity type
- Organization (NPI-2)
- Legal business name
- Somerset Pediatric Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2006
- Certification date
- Jun 4, 2021
- Last updated
- Jun 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 2080S0010X | Pediatrics, Sports Medicine | – | – |
Practice location
575 Route 28 Ste 2100Raritan, NJ 08869-1363
Phone 908-725-1802 · Fax 908-203-8825
Mailing address
575 Route 28 Ste 2205Raritan, NJ 08869-1363
Phone 908-725-5530 · Fax 908-253-6559
Authorized official
Holly Parlavecchio
Chief Administrative Officer
9087255530
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