| Family Medicine Pediatrics Llc | |
|
310 Central Avenue Suite 305 East Orange NJ 07018-2838 | |
| (973) 678-2900 | |
| (973) 678-8183 |
| Full Name | Family Medicine Pediatrics Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 310 Central Avenue, East Orange, New Jersey |
| Authorized Official Name and Position | Yash Khanna (PRESIDENT) |
| Authorized Official Contact | 9736782901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Pediatrics Llc 310 Central Avenue Suite 305 East Orange NJ 07018-2838 Ph: (973) 678-2900 | Family Medicine Pediatrics Llc 310 Central Avenue Suite 305 East Orange NJ 07018-2838 Ph: (973) 678-2900 |
| NPI Number | 1770668089 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770668089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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A1 Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Central Ave, Suite 310, East Orange, NJ 07018 Phone: 973-678-2900 Fax: 973-678-8183 | |
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