Pedi Doc, P.a.
NPI #1073538658 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1073538658
- Entity Type
- Organization
- Organization Name
- Pedi Doc, P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ESSEX PEDI DOC, LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Mar 22, 2013
Practice Location
- Address
- 205 SMITH ST
- Address 2
- SUITE D
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-4323
- Phone
- (732) 697-1600
Authorized Official
- Name
- BERNIER LAUREDAN, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (973) 371-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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