| Compassionate Pediatrics LLC | |
|
952 Main St Hackensack NJ 07601-5183 | |
| (201) 488-2200 | |
| (201) 488-0211 |
| Full Name | Compassionate Pediatrics LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 952 Main St, Hackensack, New Jersey |
| Authorized Official Name and Position | Raksha R Gupta (PROVIDER) |
| Authorized Official Contact | 2014882200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Pediatrics LLC 952 Main St Hackensack NJ 07601-5183 Ph: (201) 488-2200 | Compassionate Pediatrics LLC 952 Main St Hackensack NJ 07601-5183 Ph: (201) 488-2200 |
| NPI Number | 1922351345 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922351345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA55012 (New Jersey) | Primary |
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