J & I PEDIATRIC CARE CENTER NPI 1932229382

NPI Information

J & I PEDIATRIC CARE CENTER is an adolescent medicine pediatrics in Dearborn, MI. 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. J & I PEDIATRIC CARE CENTER NPI is 1932229382. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Care Center.

The provider's business location address is:

9720 DIX
DEARBORN, MI
ZIP 48120-566
Phone: (313) 841-1680

The provider's authorized official is Manal N Haddad .
The authorized official title is Office Manager and has the following contact phone number (313) 841-1680.

The CLIA number assigned to this NPI record is 23D0933214 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 2/6/2020.

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:

Other Identifiers

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