National Provider Identifier Database

CANDLEWOOD PEDIATRICS
Pediatrics

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.


Contact Information

CANDLEWOOD PEDIATRICS
1540 HWY. 138
SUITE 105
WALL TOWNSHIP, NJ07719
Phone: 732-280-3100
Fax: 732-280-3103
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for CANDLEWOOD PEDIATRICS

NPI Number 1134545429
Legal business name
LBN
CANDLEWOOD PEDIATRICS
Authorized official TATYANA SHKOLNAYA - (PROPRIETOR/MEDICAL DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 03/11/2014
Last updated 04/04/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA06638500
  • NJ Other: 1497729842 NPI

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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