Pediatric Affiliates PA

NPI #1669404018 in Toms River, New Jersey

Provider Information

NPI Number: 1669404018
Entity Type: Organization
Organization Name: Pediatric Affiliates PA
Primary Specialty: Pediatrics
Enumeration Date: Jul 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 40 BEY LEA ROAD
Address 2: SUITE B203
City: Toms River
State: New Jersey
ZIP Code: 08753
Phone: (732) 341-0720

Authorized Official

Name: PATRICIA IANNACCONE
Title: PRACTICE ADMINISTRATOR
Phone: (732) 341-5180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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