Sussex County Pediatric Associates
Organization Active NPI Medical Specialty Clinic/Center · Montague, NJ
NPI 1114071024 · NPPES record last updated Jan 17, 2008
Key facts
- NPI
- 1114071024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- SUSSEX COUNTY PEDIATRIC ASSOCIATES
- Practice address
- 2 Myrtle Drive
Montague, NJ 07827 - Phone
- (973) 293-7579
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James Porter
- Title
- Treasurer
- Phone
- (973) 293-7579
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
2 Myrtle Drive
Montague, NJ 07827
Mailing address
2 Myrtle Drive
Montague, NJ 07827
Phone (973) 293-7579
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All providers in Montague, NJ · Medical Specialty Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.