Provider Demographics
NPI:1114006483
Name:KIDS DOCS,PC
Entity Type:Organization
Organization Name:KIDS DOCS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:ALBANESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-762-2606
Mailing Address - Street 1:20 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2887
Mailing Address - Country:US
Mailing Address - Phone:973-762-2606
Mailing Address - Fax:973-762-4515
Practice Address - Street 1:20 VALLEY ST
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2887
Practice Address - Country:US
Practice Address - Phone:973-762-2606
Practice Address - Fax:973-762-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty