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 codeDescriptionLicenseStatePrimary
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 Rd
Livingston, NJ 07039-5672

Phone 973-322-5690 · Fax 973-322-5504

Mailing address

Po Box 18340
Newark, NJ 07191-8340

Phone 866-295-0041 · Fax 732-557-7109

Authorized official

Patrick Ahearn
Director
7325577119

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