New Brunswick Pediatric Group
Pediatrics in North Brunswick, NJ. Organization (NPI-2).
NPI number1982604302
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982604302
- Entity type
- Organization (NPI-2)
- Legal business name
- New Brunswick Pediatric Group
- Organization subpart
- No
- Enumeration date
- Jul 28, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | NJ | Yes |
Practice location
1300 How LnNorth Brunswick, NJ 08902-1721
Phone 732-247-1510 · Fax 732-247-8885
Mailing address
Po Box 60171300 How Lane
North Brunswick, NJ 08902-6017
Phone 732-247-1510 · Fax 732-247-8885
Authorized official
Howard Ernest Wiener
Vice President
7322471510
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