Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa

LBN: Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa
Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa is an health care organization with primary practice located at 12000 Lincoln Dr W Suite 311, Marlton NJ 08053-3402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa can be contacted via phone (856) 985-8100, or through Mirmanesh, Jay via phone (856) 985-8100.

Contact Information

Primary practice address
12000 Lincoln Dr W Suite 311 Marlton NJ 08053-3402
Fax: (856) 985-8374
Website:
Authorized official contact:
Name: Mirmanesh, Jay Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA05186900 New Jersey

Profile Details

NPI number 1467508796
LBN Legal business name Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa
DBA Doing business as
Authorized official Mirmanesh, Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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