Passaic Pediatrics PA

NPI #1942384888 in Passaic, New Jersey

Provider Information

NPI Number: 1942384888
Entity Type: Organization
Organization Name: Passaic Pediatrics PA
Primary Specialty: Pediatrics
Enumeration Date: Oct 25, 2006
Last Updated: Feb 9, 2012

Practice Location

Address: 298 PASSAIC STREET
City: Passaic
State: New Jersey
ZIP Code: 07055
Phone: (973) 249-8100

Authorized Official

Name: ANTONIO CAMILO, MD
Title: MD-OWNER-PRESIDENT
Phone: (973) 249-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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