NPI 1477766137

Whitehorse Pediatrics

Organisation Preferred Provider Organization Trenton, NJ

Practice location

Address: 445 White Horse Ave Suite 204a, Trenton, NJ 08610-1408
Phone: (609) 585-1234
Fax: (609) 585-1070

Authorised official

Name: Parvin Alizadeh
Title: Pediatrician
Phone: (609) 585-1234

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 25MA06970700 (NJ)

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Registry record

NPI: 1477766137
Entity type: Organization
NPI issued: 8 May 2007
Record last updated: 13 Aug 2008

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.