NPI 1609227248

Essex Pediatrics & Associates PC

Organisation Preferred Provider Organization Newark, NJ

Practice location

Address: 654 Mount Prospect Ave, Newark, NJ 07104-3110
Phone: (973) 412-7700
Fax: (973) 412-7703
Mailing address: PO Box 529, Belleville, NJ 07109-0529

Authorised official

Name: Rene Bernard Esquerre
Title: Medical Director
Phone: (973) 412-7700

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 25MA03786800 (NJ)

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Registry record

NPI: 1609227248
Entity type: Organization
NPI issued: 24 Jun 2016
Record last updated: 24 Jun 2016

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.