| Organization Name: | TENDERCARE PEDIATRICS |
| NPI Number: | 1013949189 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PADMA MANDALAPU (PRESIDENT) |
| Mailing Address: | 2322 New Rd Northfield |
| State: | NJ US |
| Postal Code: | 082251440 |
| Phone Number: | 6096410200 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 02/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MA65706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |