Kidzdoc Md Pediatrics Llc

Pediatrics · South Orange, NJ

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At a glance

120 Prospect St, South Orange, NJ 07079-2103

NPPES record updated Aug 25, 2017. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

120 Prospect St
South Orange, NJ 07079-2103
Professional details: NPI, taxonomy & registry record
NPI1437676848
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Registry details

Primary taxonomy
Pediatrics
Taxonomy code
208000000X
Enumeration date
Aug 25, 2017
Record updated
Aug 25, 2017
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Pediatrics

208000000X · Primary

License reported: 25MAO7567100 NJ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

120 Prospect St
South Orange, NJ 07079-2103
Phone
(973) 732-1718
Fax
(973) 732-1719
Mailing address
120 PROSPECT ST

SOUTH ORANGE, NJ 070792103
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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