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Kidkare Medical Pa
Clinic/Center in Fair Lawn, New Jersey
NPI 1386856029

Kidkare Medical Pa is a Clinic/Center based in Fair Lawn, NJ. Kidkare Medical Pa practices in Fair Lawn, NJ. The NPI Number for Kidkare Medical Pa is 1386856029 and holds a License No. 25MA07639000 (New Jersey).

The current practice location address for Kidkare Medical Pa is 15-01 Broadway Ste 36, Fair Lawn, NJ and can be reached out via phone at 201-773-6171 and via fax at 201-773-4845.

Location: 15-01 Broadway Ste 36, Fair Lawn, NJ, 07410-6006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386856029
Provider Name
Kidkare Medical Pa
Credential
Provider Entity Type
Organization
Address
15-01 Broadway Ste 36, Fair Lawn, NJ, 07410-6006
Phone Number
201-773-6171
Fax Number
201-773-4845
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0081787 05 NJ
1346212156 01 NJ INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
15-01 Broadway Ste 36
City
Fair Lawn
State
New Jersey
Zip
07410-6006
Phone Number
201-773-6171
Fax Number
201-773-4845
person
Provider Business Mailing Address Details
Address
15-01 Broadway Ste 36
City
Fair Lawn
State
New Jersey
Zip
07410-6006
Phone Number
201-773-6171
Fax Number
201-773-4845
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
25MA07639000 (New Jersey)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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