Healthcare Provider Details

I. General information

NPI: 1235388638
Provider Name (Legal Business Name): HUDSON PEDIATRICS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 10/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6914 JACKSON ST
GUTTENBERG NJ
07093-1856
US

IV. Provider business mailing address

6914 JACKSON ST
GUTTENBERG NJ
07093-1856
US

V. Phone/Fax

Practice location:
  • Phone: 201-622-1520
  • Fax: 201-622-8938
Mailing address:
  • Phone: 201-622-1520
  • Fax: 201-622-8938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NABEEL M NAJIB
Title or Position: PRESIDENT
Credential: MD
Phone: 201-662-1520