Organization Name: | PRIMECARE PEDIATRICS, P.C |
NPI Number: | 1619074820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STANISLAW SLIWOWSKI (PRESIDENT) |
Mailing Address: | 42 Locust Ave Wallington |
State: | NJ US |
Postal Code: | 070571300 |
Phone Number: | 9734734033 |
Fax Number: | 9734732988 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 25MA04953900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |