Passaic Pediatrics PA

NPI #1326383076 in Passaic, New Jersey

Provider Information

NPI Number: 1326383076
Entity Type: Organization
Organization Name: Passaic Pediatrics PA
Primary Specialty: Pediatrics
Enumeration Date: Dec 6, 2012
Last Updated: Dec 6, 2012

Practice Location

Address: 200 GREGORY AVE
City: Passaic
State: New Jersey
ZIP Code: 07055-3802
Phone: (973) 249-8100

Authorized Official

Name: ANTONIO M CAMILO, M.D.
Title: OWNER
Phone: (201) 233-3455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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