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1104031939
ELIZABETH PEDIATRIC GROUP, LLC
ELIZABETH, NJ
NPI
1104031939
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Entity Type
Organization
Authorized Contact
KENNETH JAMES DAVIS
Owner
908-354-9500
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NJ 25MA04177300)
Enumeration Date
2007-05-14
Last Update Date
2020-08-22
Business Address
ELIZABETH PEDIATRIC GROUP, LLC
701 NEWARK AVE SUITE 212
ELIZABETH, NJ 07208-3550
Phone number: 908-354-9500
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Mailing Address
ELIZABETH PEDIATRIC GROUP, LLC
701 NEWARK AVE SUITE 212
ELIZABETH, NJ 07208-3550
Phone number: 908-354-9500
Copy
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