Organization · Type 2 NPI

Pediatric and Adolescent Medicine

Pediatric Adolescent Medicine Physician · West Long Branch, NJ

NPI number 1053461855 Active

Practice location

223 Monmouth Rd
West Long Branch, NJ 07764-1029

Fax (732) 229-8689

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XMA37398 (NJ)
Pediatric Adolescent Medicine Physician 2080A0000XMA040400 (NJ)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

11 other providers at this address

About NPI 1053461855

Pediatric and Adolescent Medicine's National Provider Identifier is 1053461855, issued on Jan 12, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in West Long Branch, NJ. The record was last updated on Aug 22, 2020.