OrganizationActive
C and M Kintiroglou Md'S PA
NPI 1689969396 · Pediatric Adolescent Medicine Physician · West Orange, NJ
Provider details
- NPI number
- 1689969396
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Brigette Fullard, Office Manager
- License
- 25MA03124000 (NJ)
Practice location
1500 Pleasant Valley Way
Suite 301
West Orange, NJ 07052-2956
Phone: (973) 243-0002
Mailing address
1500 Pleasant Valley Way
West Orange, NJ 07052-2956
Registry dates
- Enumerated
- 2011-06-10
- Last updated
- 2011-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.