Provider Demographics
NPI:1770658023
Name:FIRST STEP PEDIATRICS
Entity Type:Organization
Organization Name:FIRST STEP PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-459-2270
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD ST
Mailing Address - State:NJ
Mailing Address - Zip Code:08313
Mailing Address - Country:US
Mailing Address - Phone:856-459-2270
Mailing Address - Fax:856-459-9674
Practice Address - Street 1:206 LAUREL HEIGHTS DRIVE
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302
Practice Address - Country:US
Practice Address - Phone:856-459-2270
Practice Address - Fax:856-459-9674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty