Organization · NPI-2
Saint Barnabas Multi Specialty
Pediatrics, Pediatric Critical Care Medicine · Livingston, NJ
NPI number1780632992
StatusActive
Last updated in NPPESJul 9, 2008
Details
- NPI
- 1780632992
- Entity type
- Organization (NPI-2)
- Legal business name
- Saint Barnabas Multi Specialty
- Organization subpart
- No
- Enumeration date
- May 4, 2006
- Last updated
- Jul 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | – | – | Yes |
| 2080P0210X | Pediatrics, Pediatric Nephrology | – | – | |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | – | – | |
| 208000000X | Pediatrics | – | – |
Other names
- Sbmc Multi Specialty (Doing Business As)
Practice location
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-5690 · Fax 973-322-5504
Mailing address
Po Box 18340Newark, NJ 07191-8340
Phone 866-295-0041 · Fax 732-557-7109
Authorized official
Patrick Ahearn
Director
7325577119
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