Irvington Pediatric Associates, P.a.
NPI #1770518698 in Irvington, New Jersey
Provider Information
- NPI Number
- 1770518698
- Entity Type
- Organization
- Organization Name
- Irvington Pediatric Associates, P.a.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 22 BALL ST
- Address 2
- SUITE 100
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-3521
- Phone
- (973) 371-1600
Authorized Official
- Name
- BERNIER LAUREDAN, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (973) 371-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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