| NPI | 1558537233 |
|---|---|
| Doing Business As | PEDIATRIC & ADOLESCENT CTR |
| Entity Type | Organization |
| Authorized Contact | LEONARD J GROSSMAN Medical Doctor 973-347-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 25MA02924700) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-06-19 |