Bergen Pediatric Center,p.c

NPI #1750302683 in Bergenfield, New Jersey

Provider Information

NPI Number: 1750302683
Entity Type: Organization
Organization Name: Bergen Pediatric Center,p.c
Primary Specialty: Pediatrics
Enumeration Date: Jul 23, 2006
Last Updated: Oct 28, 2008

Practice Location

Address: 167 S WASHINGTON AVE
City: Bergenfield
State: New Jersey
ZIP Code: 07621-2903
Phone: (201) 384-8510

Authorized Official

Name: DR. OMANA REJI MATHEW
Title: PRESIDENT
Phone: (201) 384-8510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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