| NPI | 1811232762 |
|---|---|
| Former Legal Business Name | PEDIATRIC PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TAYYABA K MALIK CEO/ Soler Owner 201-217-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA060432) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2023-04-17 |