Healthcare Provider Details

I. General information

NPI: 1598702441
Provider Name (Legal Business Name): M & M PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 02/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 RAMTOWN GREENVILLE RD
HOWELL NJ
07731-3830
US

IV. Provider business mailing address

70 RAMTOWN GREENVILLE RD
HOWELL NJ
07731-3830
US

V. Phone/Fax

Practice location:
  • Phone: 732-785-0300
  • Fax: 732-785-9420
Mailing address:
  • Phone: 732-785-0300
  • Fax: 732-785-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MRS. HELEN ANGELO
Title or Position: OFFICE MANAGER
Credential:
Phone: 732-785-0300