Healthcare Provider Details
I. General information
NPI: 1386830057
Provider Name (Legal Business Name): NEW BEGINNINGS PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2007
Last Update Date: 09/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
755 MEMORIAL PKWY SUITE 115
PHILLIPSBURG NJ
08865-2748
US
IV. Provider business mailing address
10 BRASS CASTLE RD
WASHINGTON NJ
07882-6309
US
V. Phone/Fax
- Phone: 908-454-3737
- Fax:
- Phone: 908-835-1910
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARMI
T
SION
Title or Position: PARTNER
Credential: MD
Phone: 908-454-3737