| NPI | 1699438432 |
|---|---|
| Other Name | PM PEDIATRICS BH, P.C. (NJ ENTITY) |
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE LOPEZ Manager Credentialing/Enrollment 516-207-7936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2025-01-21 |