Pediatric and Adolescent Medicine
NPI #1053461855 in West Long Branch, New Jersey
Provider Information
- NPI Number
- 1053461855
- Entity Type
- Organization
- Organization Name
- Pediatric and Adolescent Medicine
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 223 MONMOUTH RD
- City
- West Long Branch
- State
- New Jersey
- ZIP Code
- 07764-1029
- Phone
- (732) 229-4540
Authorized Official
- Name
- MS. MAUREEN E KINGSLEY
- Title
- OFFICE MNG
- Phone
- (732) 229-4540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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