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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

NPI # 1134545429
LBN Legal business name CANDLEWOOD PEDIATRICS
Authorized official TATYANA SHKOLNAYA - (PROPRIETOR/MEDICAL DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2014
Last updated 04/04/2014 - About 12 years ago
Identifiers
NJ License # 25MA06638500
NJ Other 1497729842 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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