Mystic Island Pediatric Associates, Llc

LBN: Mystic Island Pediatric Associates, Llc
Mystic Island Pediatric Associates, Llc is an health care organization with primary practice located at 104 E Anchor Dr , Little Egg Harbor Twp NJ 08087-1643. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Mystic Island Pediatric Associates, Llc can be contacted via phone (609) 294-5500, or through Lee, Gene Chiu via phone (609) 294-5500.

Contact Information

Primary practice address
104 E Anchor Dr Little Egg Harbor Twp NJ 08087-1643
Fax: (609) 294-5700
Website:
Authorized official contact:
Name: Lee, Gene Chiu Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 25MA05073700 New Jersey

Profile Details

NPI number 1679892533
LBN Legal business name Mystic Island Pediatric Associates, Llc
DBA Doing business as
Authorized official Lee, Gene Chiu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2010
Last updated May 18th, 2010 - about 14 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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