Organization · Type 2 NPI
Pediatrics & Adolescent Saint Mary Clinic, LLC
Pediatric Adolescent Medicine Physician · Kearny, NJ
NPI number
1831555705
Active
Practice location
65 Kearny Ave
Kearny, NJ 07032-2334
Mailing address
204 Green Valley Rd
Staten Island, NY 10312-1825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 25MA09372400 (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.
4 other providers at this address
About NPI 1831555705
Pediatrics & Adolescent Saint Mary Clinic, LLC's National Provider Identifier is 1831555705, issued on Jan 8, 2016. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Kearny, NJ. The record was last updated on Jan 8, 2016.