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NPI Code Detail

MEDICARE: HEAL AND CARE PEDIATRICS, PA

MEDICARE: HEAL AND CARE PEDIATRICS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMA067025NJ

General Provider Information

NPI Number : 1831299379
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAL AND CARE PEDIATRICS, PA
Provider Business Mailing Address
First Line : 1000 W MAIN ST
Second Line : SUITE 5
City : FREEHOLD
State : NJ
Zip : 07728-2521
Country : US
Telephone Number : 732-866-9300
Fax Number : 732-866-9747
Provider Business Practice Location Address
First Line : 1000 W MAIN ST
Second Line : SUITE 5
City : FREEHOLD
State : NJ
Zip : 07728-2521
Country : US
Telephone Number : 732-866-9300
Fax Number : 732-866-9747
Authorized Official
Title or Position : PRESIDENT
Name : DR. VRINDA BHARAT SHAH
Credential : M. D.
Telephone Number : 732-866-9300
Provider Enumeration Date : 09/24/2006
Last Update Date : 08/22/2020

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Directions to “HEAL AND CARE PEDIATRICS, PA ” Practice Location

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