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General NPI Number Information
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NPI Number | 1790814127
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Entity Type | Organization
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Legal Business Name | PEDIATRIC CARE PHYSICIANS, LLC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 2119 ROUTE 88 E
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City | BRICK
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State | NJ
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Zip | 08724-3227
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Country | US
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Telephone | 732-899-0008
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Fax | 732-899-0447
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Provider Business Mailing Address
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Address Line | 2211 ROUTE 88 STE 2A
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City | BRICK
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State | NJ
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Zip | 08724-3229
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Country | US
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Telephone | 732-899-0008
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Fax | 732-899-0447
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA COLLADO
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Credential | M.D.
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Telephone | 732-899-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MA070911
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License Number State | NJ
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