Active NPIOrganization

Pediatric Eden L.l.c.

Clinic/Center, Primary Care in Millburn, New Jersey

NPI Number1720311855
Practice location
241 Millburn Ave, Suite B, Millburn, NJ 07041-1739
Fax
973-376-7610
Last updated
May 31, 2013

Pediatric Eden L.l.c. is a healthcare organization based in Millburn, NJ. Pediatric Eden L.l.c. practices in Millburn, NJ. The NPI Number for Pediatric Eden L.l.c. is 1720311855 and holds a License No. MA072666 (NJ). The current practice location address for Pediatric Eden L.l.c. is 241 Millburn Ave, Suite B, Millburn, NJ 07041-1739 and can be reached out via phone at 973-376-9000 and via fax at 973-376-7610.

Provider Profile Details

NPI Number
1720311855
Provider Name
Pediatric Eden L.l.c.
Provider Entity Type
Organization
Address
241 Millburn Ave, Suite B, Millburn, NJ 07041-1739
Phone Number
973-376-9000
Fax Number
973-376-7610
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Dr. Dahlia Hall, MD · Physician · 973-376-9000
Provider Enumeration Date
September 8, 2009
Last Update Date
May 31, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
241 Millburn Ave
Suite B
Millburn, NJ 07041-1739
Zip
07041-1739
Phone Number
973-376-9000
Fax Number
973-376-7610
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
241 Millburn Ave.
Suite B
Millburn, NJ 07041
City
Millburn
State
NJ
Zip
07041
Phone Number
973-376-9000
Fax Number
973-376-7610

License Information

License Number
MA072666
License State
NJ
Taxonomy
Clinic/Center, Primary Care · 261QP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Clinic/Center, Primary Care providers near Millburn, NJ

View all Clinic/Center, Primary Care providers in Millburn →

Frequently Asked Questions

What is the NPI number of Pediatric Eden L.l.c.?

The NPI number of Pediatric Eden L.l.c. is 1720311855. It was assigned on September 8, 2009 and is currently active in the NPPES registry.

What is the specialty of Pediatric Eden L.l.c.?

Pediatric Eden L.l.c. is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number MA072666.

Where does Pediatric Eden L.l.c. practice?

The practice location is 241 Millburn Ave, Suite B, Millburn, NJ 07041-1739. The office can be reached at 973-376-9000 (phone) or 973-376-7610 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720311855 directly on the NPPES registry website.

Browse related providers