University Pediatric Associates (om)

NPI #1063010742 in Newark, New Jersey

Provider Information

NPI Number: 1063010742
Entity Type: Organization
Organization Name: University Pediatric Associates (om)
Subpart: Yes (part of a larger organization)
Parent Organization: SPECIAL LLC
Primary Specialty: Pediatrics
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 201 LYONS AVE
City: Newark
State: New Jersey
ZIP Code: 07112-2027
Phone: (973) 926-7000

Authorized Official

Name: DAVID HAIER
Title: CEO
Phone: (973) 972-9503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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