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Contact Information

CANDLEWOOD PEDIATRICS
1540 HWY. 138
SUITE 105
WALL TOWNSHIP, NJ07719
 Phone: 732-280-3100
 Fax: 732-280-3103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CANDLEWOOD PEDIATRICS · (Female)

NPI # 1134545429
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2014
Last updated 04/04/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA06638500
  • NJ Other 1497729842 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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