NPI 1861660219

Jersey City Pediatrics

Organisation Preferred Provider Organization Jersey City, NJ

Practice location

Address: 1 Journal Square Plz, Jersey City, NJ 07306-4004
Phone: (201) 963-0090

Authorised official

Name: Bandana Raha
Title: Office Manager
Phone: (201) 963-0090

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA41101 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1861660219
Entity type: Organization
NPI issued: 19 Feb 2008
Record last updated: 19 Feb 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.