Organization · Type 2 NPI

Pediatric Surgery Group, LLC

Pediatric Surgery Physician · Maplewood, NJ

NPI number 1679580781 Active

Practice location

2130 Millburn Ave
Maplewood, NJ 07040-3725

Call (973) 313-3115 Map

Fax (973) 313-3188

Mailing address

25B Vreeland Rd, Suite 110
Florham Park, NJ 07932-1900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

37 other providers at this address

About NPI 1679580781

Pediatric Surgery Group, LLC's National Provider Identifier is 1679580781, issued on Aug 2, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Maplewood, NJ. The record was last updated on Dec 21, 2010.