Pediatric Surgery Group, LLC
NPI #1679580781 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1679580781
- Entity Type
- Organization
- Organization Name
- Pediatric Surgery Group, LLC
- Primary Specialty
- Surgery - Pediatric Surgery
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Dec 21, 2010
Practice Location
- Address
- 2130 MILLBURN AVE
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-3725
- Phone
- (973) 313-3115
Authorized Official
- Name
- DR. COLIN BETHEL, M.D.
- Title
- MANAGING MEMBER
- Phone
- (973) 660-9334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Pediatric Surgery — Pediatric Surgery |
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