| Organization Name: | PEDIATRIC ASSOCIATES OF ATLANTIC COUNTY |
| NPI Number: | 1558451492 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENN RANDOLPH BUDNICK (PRESIDENT) |
| Mailing Address: | 9009 Ventnor Ave Margate City |
| State: | NJ US |
| Postal Code: | 084022444 |
| Phone Number: | 9098232773 |
| Fax Number: | 6098236464 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MA3883900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |