Candlewood Pediatrics

NPI #1134545429 in Wall, New Jersey

Provider Information

NPI Number: 1134545429
Entity Type: Organization
Organization Name: Candlewood Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Mar 11, 2014
Last Updated: Apr 4, 2014

Practice Location

Address: 1540 HWY. 138
Address 2: SUITE 105
City: Wall
State: New Jersey
ZIP Code: 07719
Phone: (732) 280-3100

Authorized Official

Name: TATYANA SHKOLNAYA, M.D.
Title: PROPRIETOR/MEDICAL DOCTOR
Phone: (732) 280-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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