Provider Demographics
NPI:1174553077
Name:FRIENDLY PEDIATRICS PC
Entity type:Organization
Organization Name:FRIENDLY PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOKSHINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-679-1163
Mailing Address - Street 1:3887 COUNTY ROAD 516
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2499
Mailing Address - Country:US
Mailing Address - Phone:732-679-1163
Mailing Address - Fax:732-679-1165
Practice Address - Street 1:3887 COUNTY ROAD 516
Practice Address - Street 2:SUITE 1B
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2499
Practice Address - Country:US
Practice Address - Phone:732-679-1163
Practice Address - Fax:732-679-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07115500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty