| Woodbridge Pediatrics & Adolescent Care.,pc | |
|
80 Lake Ave Colonia NJ 07067-1323 | |
| (732) 396-4744 | |
| (732) 396-9604 |
| Full Name | Woodbridge Pediatrics & Adolescent Care.,pc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 80 Lake Ave, Colonia, New Jersey |
| Authorized Official Name and Position | Kamal P Charaipotra (PRESIDENT) |
| Authorized Official Contact | 7323960813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Pediatrics & Adolescent Care.,pc 80 Lake Ave Colonia NJ 07067-1323 Ph: (732) 396-4744 | Woodbridge Pediatrics & Adolescent Care.,pc 80 Lake Ave Colonia NJ 07067-1323 Ph: (732) 396-4744 |
| NPI Number | 1124169727 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124169727 | NPI | - | NPPES |
| 6560300 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA05905800 (New Jersey) | Secondary |
| 261QH0100X | Clinic/center - Health Service | 25MA04259400 (New Jersey) | Primary |
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