Provider Demographics
NPI:1215069687
Name:ESSEX PEDIATRICS
Entity type:Organization
Organization Name:ESSEX PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMBRANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-672-1212
Mailing Address - Street 1:10 RIDGEDALE AVE W
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1634
Mailing Address - Country:US
Mailing Address - Phone:973-672-1212
Mailing Address - Fax:973-672-2722
Practice Address - Street 1:26 BALDWIN ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1302
Practice Address - Country:US
Practice Address - Phone:973-672-1212
Practice Address - Fax:973-672-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty