Provider Demographics
NPI:1598702441
Name:M & M PEDIATRICS
Entity Type:Organization
Organization Name:M & M PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-785-0300
Mailing Address - Street 1:70 RAMTOWN GREENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3830
Mailing Address - Country:US
Mailing Address - Phone:732-785-0300
Mailing Address - Fax:732-785-9420
Practice Address - Street 1:70 RAMTOWN GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3830
Practice Address - Country:US
Practice Address - Phone:732-785-0300
Practice Address - Fax:732-785-9420
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M & M PEDIATRICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-31
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty