Provider Demographics
NPI:1114163896
Name:AYGEN PEDIATRICS, LLC
Entity Type:Organization
Organization Name:AYGEN PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEHRA
Authorized Official - Middle Name:ZEYNEP
Authorized Official - Last Name:AYGEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-879-4300
Mailing Address - Street 1:530 E MAIN ST
Mailing Address - Street 2:SUITE 4A P.O. BOX 632
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2669
Mailing Address - Country:US
Mailing Address - Phone:908-879-4300
Mailing Address - Fax:908-879-8956
Practice Address - Street 1:530 E MAIN ST
Practice Address - Street 2:SUITE 4A
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2669
Practice Address - Country:US
Practice Address - Phone:908-879-4300
Practice Address - Fax:908-879-8956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06679900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty