Jersey Shore Bethany Pediatrics

NPI #1194781591 in Hazlet, New Jersey

Provider Information

NPI Number: 1194781591
Entity Type: Organization
Organization Name: Jersey Shore Bethany Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Apr 25, 2006
Last Updated: Mar 23, 2009

Practice Location

Address: 1 BETHANY RD
Address 2: BUILDING 5: SUITE 65
City: Hazlet
State: New Jersey
ZIP Code: 07730-1663
Phone: (732) 264-0700

Authorized Official

Name: CARL MARCHETTI, M.D.
Title: DIRECTOR
Phone: (732) 264-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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