All Star Pediatrics and Sports Medicine
NPI #1972912566 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1972912566
- Entity Type
- Organization
- Organization Name
- All Star Pediatrics and Sports Medicine
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 7, 2014
- Last Updated
- Aug 7, 2014
Practice Location
- Address
- 199 BROAD ST
- Address 2
- SUITE 1B
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-2635
- Phone
- (973) 743-1392
Authorized Official
- Name
- DR. RUCHI MEHTA, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (973) 743-1392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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