Provider Demographics
NPI:1831299379
Name:HEAL AND CARE PEDIATRICS, PA
Entity Type:Organization
Organization Name:HEAL AND CARE PEDIATRICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VRINDA
Authorized Official - Middle Name:BHARAT
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:732-866-9300
Mailing Address - Street 1:1000 W MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2521
Mailing Address - Country:US
Mailing Address - Phone:732-866-9300
Mailing Address - Fax:732-866-9747
Practice Address - Street 1:1000 W MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2521
Practice Address - Country:US
Practice Address - Phone:732-866-9300
Practice Address - Fax:732-866-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA067025208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty