Provider Demographics
NPI:1962487884
Name:PEDIATRICS OF MORRIS
Entity Type:Organization
Organization Name:PEDIATRICS OF MORRIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAGADAN
Authorized Official - Suffix:
Authorized Official - Credentials:D,O
Authorized Official - Phone:973-625-5538
Mailing Address - Street 1:35 GREEN POND RD
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2013
Mailing Address - Country:US
Mailing Address - Phone:973-625-5538
Mailing Address - Fax:973-625-9424
Practice Address - Street 1:35 GREEN POND RD
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-2013
Practice Address - Country:US
Practice Address - Phone:973-625-5538
Practice Address - Fax:973-625-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMBO58039208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty