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Infancy to Adolescence and Beyond...
A to Z Pediatrics...
Board Certified Pediatricians and Lactation Consultant

Contact Us
Contact Information

Please complete the fields below and we will respond to your inquiry.
Child's First Name: *
Child's Last Name:
Your Name: First Last:
Cell Phone: *
Text Appointment Reminders  No, I am not willing/ able to receive text messages
Cell Phone Company:: *
Alternate Phone:
Web Enable: Please send me a user name and password for the patient "portal"
Preferred User Name:  *each child will need a unique user name
Preferred Password:  *same password can be used for each child
Email: *
Comments:

Insurance Information

Unfortunately the "patient portal" at this time does not have a section for you to give us your insurance information. Having this information enables us to check your eligibility prior to your visit, thus making a shorter sign in and wait time for you.
Child's Last Name:
Child's First Name:
Date of Birth:
Insurance (choose from list):
Other Insurance not listed here:
ID number:
Email:

A to Z Pediatrics 

369 W. Blackwell St 

Dover NJ 07801 

phone: 973-328-8300 

fax: 866-811-0251 

email: doctor@atozpeds.org

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