| Organization Name: | WOODBRIDGE PEDIATRICS & ADOLESCENT CARE.,PC |
| NPI Number: | 1124169727 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAMAL P CHARAIPOTRA (PRESIDENT) |
| Mailing Address: | 80 Lake Ave Colonia |
| State: | NJ US |
| Postal Code: | 070671323 |
| Phone Number: | 7323964744 |
| Fax Number: | 7323969604 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 25MA04259400 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |