Provider Demographics
NPI:1366671398
Name:DR. CLARO ASPREC PEDIATRICS,LLC
Entity Type:Organization
Organization Name:DR. CLARO ASPREC PEDIATRICS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARO
Authorized Official - Middle Name:MALIG
Authorized Official - Last Name:ASPREC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-679-8200
Mailing Address - Street 1:3099 ROUTE 516
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2326
Mailing Address - Country:US
Mailing Address - Phone:732-679-8200
Mailing Address - Fax:732-679-8201
Practice Address - Street 1:3099 ROUTE 516
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2326
Practice Address - Country:US
Practice Address - Phone:732-679-8200
Practice Address - Fax:732-679-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-12
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA060925002080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6224903Medicaid
NJAS620353Medicare PIN
NJF99156Medicare UPIN