Prospect Pediatrics PA
NPI #1023431871 in Belleville, New Jersey
Provider Information
- NPI Number
- 1023431871
- Entity Type
- Organization
- Organization Name
- Prospect Pediatrics PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 30, 2014
- Last Updated
- Dec 11, 2014
Practice Location
- Address
- 163 BELLEVILLE AVE
- City
- Belleville
- State
- New Jersey
- ZIP Code
- 07109-2437
- Phone
- (973) 302-4644
Authorized Official
- Name
- FIDELIS OKOH
- Title
- EXECUTIVE DIRECTOR OPERATIONS
- Phone
- (973) 356-1696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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