Ethel and Raphael Pediatrics

NPI #1124282330 in Ocean, New Jersey

Provider Information

NPI Number: 1124282330
Entity Type: Organization
Organization Name: Ethel and Raphael Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jul 16, 2008
Last Updated: Jul 16, 2008

Practice Location

Address: 1405 HIGHWAY 35
Address 2: SUITE 104
City: Ocean
State: New Jersey
ZIP Code: 07712-3532
Phone: (732) 531-2200

Authorized Official

Name: OLUKEMI OMOTOSO, MD
Title: OWNER
Phone: (732) 531-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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