Rivendell Pediatric and Adolscent Medicine, PC
Rivendell Pediatric and Adolscent Medicine, PC provides Pediatrics Physician services in Columbus, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
25 Homestead Dr Ste HColumbus, NJ 08022-1005
Phone: (609) 424-0340
Fax: (609) 298-7452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 25MA04122800 (NJ) |
|---|
Record details
| NPI number | 1497797864 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Hirsch — Md/Pres · (609) 424-0340 |
| NPI enumerated | June 12, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 25 Homestead Dr, Ste H, Columbus, NJ 08022-1005 |
Other providers in Columbus
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Kenneth Michael Hirsch, MD
25 Homestead Dr Ste H, Columbus, NJ 08022-1005 · (609) 424-0340