Provider Demographics
NPI:1396782256
Name:DELAWARE VALLEY PEDIATRIC ASSOCIATES, PA
Entity type:Organization
Organization Name:DELAWARE VALLEY PEDIATRIC ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:LILIENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-896-4141
Mailing Address - Street 1:132 FRANKLIN CORNER RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2523
Mailing Address - Country:US
Mailing Address - Phone:609-896-4141
Mailing Address - Fax:609-896-3940
Practice Address - Street 1:132 FRANKLIN CORNER RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2523
Practice Address - Country:US
Practice Address - Phone:609-896-4141
Practice Address - Fax:609-896-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty