Provider Demographics
NPI:1790805786
Name:PEDIATRICS DAY AND NIGHT
Entity Type:Organization
Organization Name:PEDIATRICS DAY AND NIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCCILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-581-1700
Mailing Address - Street 1:1230 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3814
Mailing Address - Country:US
Mailing Address - Phone:609-581-1700
Mailing Address - Fax:609-581-8472
Practice Address - Street 1:1230 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3814
Practice Address - Country:US
Practice Address - Phone:609-581-1700
Practice Address - Fax:609-581-8472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty