Provider Demographics
NPI:1790817922
Name:TLC PEDIATRICS
Entity Type:Organization
Organization Name:TLC PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ANBULCHELVI
Authorized Official - Middle Name:
Authorized Official - Last Name:APPULINGAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-741-3400
Mailing Address - Street 1:20 WHITE RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702
Mailing Address - Country:US
Mailing Address - Phone:732-741-3400
Mailing Address - Fax:732-741-3104
Practice Address - Street 1:20 WHITE RD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702
Practice Address - Country:US
Practice Address - Phone:732-741-3400
Practice Address - Fax:732-741-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty