Pediatric and Adolescent Medicine
Pediatric and Adolescent Medicine is a Pediatric Adolescent Medicine Physician in West Long Branch, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
223 Monmouth RdWest Long Branch, NJ 07764-1029
Phone: (732) 229-4540
Fax: (732) 229-8689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence MA37398 (NJ) |
|---|---|
| Pediatric Adolescent Medicine Physician | Taxonomy 2080A0000X · Licence MA040400 (NJ) |
Record details
| NPI number | 1053461855 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maureen Kingsley — Office Mng · (732) 229-4540 |
| NPI enumerated | January 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 |