Provider Demographics
NPI:1659505147
Name:MORRIS PEDIATRIC CARE, LLC
Entity Type:Organization
Organization Name:MORRIS PEDIATRIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ARADHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-588-4280
Mailing Address - Street 1:18 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5974
Mailing Address - Country:US
Mailing Address - Phone:973-588-4280
Mailing Address - Fax:973-944-5015
Practice Address - Street 1:3219 US HIGHWAY 46
Practice Address - Street 2:SUITE 115
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1278
Practice Address - Country:US
Practice Address - Phone:973-588-4280
Practice Address - Fax:973-944-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care