Provider Demographics
NPI:1871643957
Name:RAINBOW PEDIATRICS PC
Entity Type:Organization
Organization Name:RAINBOW PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-624-9003
Mailing Address - Street 1:PO BOX 617
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:08230-0617
Mailing Address - Country:US
Mailing Address - Phone:609-624-9003
Mailing Address - Fax:609-624-9003
Practice Address - Street 1:2041 N ROUTE 9
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1162
Practice Address - Country:US
Practice Address - Phone:609-624-9003
Practice Address - Fax:609-624-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty