Whalio Doctors

NPI 1871528943

Colin a Bethel, MD

Practitioner Pediatric Surgery Physician Maplewood, NJ

Practice location

Address
2130 Millburn Avenue Suite C-1, Maplewood, NJ 07040
Phone
(888) 287-3652
Fax
(973) 549-6079
Mailing address
P.O. Box 785361 Pediatric Surgery Group, Philadelphia, PA 19178

Registered specialties

Pediatric Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0120X Licence 25MA06559800 (NJ)

Registry record

NPI
1871528943
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jul 2006
Record last updated
21 Dec 2010

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.