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Dr. Malkhazi Mikadze, MD
Pediatric Emergency Medicine (Pediatrics) Physician in Hackensack, New Jersey
NPI 1033150099

Malkhazi Mikadze is a Pediatric Emergency Medicine (Pediatrics) Physician based in Livingston, NJ and is specialized in Pediatric Emergency Medicine. Malkhazi Mikadze practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Malkhazi Mikadze is 1033150099 and holds a License No. 25MA07954800 (New Jersey).

The current practice location address for Malkhazi Mikadze is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 201-996-2000.

Location: 30 Prospect Ave, Hackensack, NJ, 07039-4801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033150099
Provider Name
Malkhazi Mikadze
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 Prospect Ave, Hackensack, NJ, 07039-4801
Phone Number
201-996-2000
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1914
Phone Number
201-996-2000
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1914
Phone Number
201-996-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
25MA07954800 (New Jersey)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
25MA07954800 (New Jersey)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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