GARDEN STATE PEDIATRICS NPI 1558489781

NPI Information

NPI: 1558489781
Provider Name: GARDEN STATE PEDIATRICS
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1225 WHITEHORSE MERCERVILLE RD
BLDG D, SUITE 203
MERCERVILLE, NJ
ZIP 08619
Phone: (609) 581-5100
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GARDEN STATE PEDIATRICS is an adolescent medicine pediatrics in Mercerville, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. GARDEN STATE PEDIATRICS NPI is 1558489781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1225 WHITEHORSE MERCERVILLE RD
BLDG D, SUITE 203
MERCERVILLE, NJ
ZIP 08619-882
Phone: (609) 581-5100
Fax: (609) 581-5134

The provider's authorized official is Alon E Baker .
The authorized official title is Physician and has the following contact phone number (609) 581-5100.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	MB070199	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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