Washington St Pediatrics LLC

NPI #1427640440 in Newark, New Jersey

Provider Information

NPI Number: 1427640440
Entity Type: Organization
Organization Name: Washington St Pediatrics LLC
Primary Specialty: Pediatrics
Enumeration Date: Feb 10, 2021
Last Updated: Jan 14, 2022

Practice Location

Address: 495 N 13TH ST
City: Newark
State: New Jersey
ZIP Code: 07107-1317
Phone: (973) 268-5862

Authorized Official

Name: DR. MICHAEL SKOLNICK
Title: OWNER
Phone: (973) 715-5963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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