| Pediatric Eden L.l.c. | |
|
241 Millburn Ave Suite B Millburn NJ 07041-1739 | |
| (973) 376-9000 | |
| (973) 376-7610 |
| Full Name | Pediatric Eden L.l.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 241 Millburn Ave, Millburn, New Jersey |
| Authorized Official Name and Position | Dahlia Hall (PHYSICIAN) |
| Authorized Official Contact | 9733769000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Eden L.l.c. 241 Millburn Ave. Suite B Millburn NJ 07041 Ph: (973) 376-9000 | Pediatric Eden L.l.c. 241 Millburn Ave Suite B Millburn NJ 07041-1739 Ph: (973) 376-9000 |
| NPI Number | 1720311855 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 05/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720311855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA072666 (New Jersey) | Primary |
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