Healthcare Provider Details

I. General information

NPI: 1689763906
Provider Name (Legal Business Name): WASHINGTON AVENUE PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 WASHINGTON AVE
IRVINGTON NJ
07111-3313
US

IV. Provider business mailing address

41 WASHINGTON AVE
IRVINGTON NJ
07111-3313
US

V. Phone/Fax

Practice location:
  • Phone: 973-373-3199
  • Fax:
Mailing address:
  • Phone: 973-373-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EMMANUEL J FRANCOIS
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 973-373-3199