Elizabeth Pediatric Group, LLC

NPI #1104031939 in Elizabeth, New Jersey

Provider Information

NPI Number
1104031939
Entity Type
Organization
Organization Name
Elizabeth Pediatric Group, LLC
Primary Specialty
Pediatrics
Enumeration Date
May 14, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
701 NEWARK AVE
Address 2
SUITE 212
ZIP Code
07208-3550
Phone
(908) 354-9500

Authorized Official

Name
DR. KENNETH JAMES DAVIS, MD
Title
OWNER
Phone
(908) 354-9500

Specialties & Taxonomy Codes

Specialty
Pediatrics

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