NPI 1043507270

Mejia Pediatrics LLC

Organisation Primary Care Clinic/Center Elizabeth, NJ

Practice location

Address: 433 N Broad St, Elizabeth, NJ 07208-3300
Phone: (908) 436-1002
Fax: (908) 436-1109

Authorised official

Name: Johanna J Gonzalez Mejia
Title: Owner
Phone: (908) 436-1002

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 1428465 (NJ)

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1043507270
Entity type: Organization
NPI issued: 8 Jul 2011
Record last updated: 11 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.