PEDIATRIC EDEN L.L.C. NPI 1720311855

NPI Information

  • NPI: 1720311855
  • Provider Name: PEDIATRIC EDEN L.L.C.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 241 MILLBURN AVE
    SUITE B
    MILLBURN, NJ
    ZIP 07041
  • Phone: (973) 376-9000

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NPI Details

PEDIATRIC EDEN L.L.C. is a primary care clinic center in Millburn, NJ. PEDIATRIC EDEN L.L.C. NPI is 1720311855. The provider is registered as an organization entity type.

The provider's business location address is:

241 MILLBURN AVE
SUITE B
MILLBURN, NJ
ZIP 07041-739
Phone: (973) 376-9000
Fax: (973) 376-7610

The provider's authorized official is Dahlia Hall .
The authorized official title is Physician and has the following contact phone number (973) 376-9000.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 5/31/2013.

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
1261QP2300XClinic/CenterPrimary CareMA072666NEW JERSEYYes

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: 3/30/2025

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