WOODBRIDGE PEDIATRICS & ADOLESCENT CARE.,PC
Ambulatory Health at Lake Ave, Colonia, NJ

License number
New Jersey 25MA04259400
Category
Ambulatory Health
Type
Health Service
License number
New Jersey 25MA05905800
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. KAMAL P CHARAIPOTRA MD
Title: PRESIDENT
Phone: (732) 396-0813
Address
Address
80 Lake Ave, Colonia, NJ 07067
National Provider ID: 1124169727
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WOODBRIDGE PEDIATRICS & ADOLESCENT CARE, PC

Colonia, NJ

Registration:
Mar 29, 1995
State ID:
0100622173
Business type:
PA

Ambulatory Health licenses in New Jersey

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