Pediatric Rehabilitation Associates, Llc

LBN: Pediatric Rehabilitation Associates, Llc
Pediatric Rehabilitation Associates, Llc is an health care organization with primary practice located at 92 Brick Rd Fl 3 , Marlton NJ 08053-2177. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as the primary health care specialty. Pediatric Rehabilitation Associates, Llc can be contacted via phone (856) 489-4520, or through Domingo, Connie via phone (609) 410-8055.

Contact Information

Primary practice address
92 Brick Rd Fl 3 Marlton NJ 08053-2177
Phone: (856) 489-4520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Domingo, Connie Doctor of Medicine (MD)
Phone: (609) 410-8055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 25MA06376400 New Jersey

Profile Details

NPI number 1558811372
LBN Legal business name Pediatric Rehabilitation Associates, Llc
DBA Doing business as
Authorized official Domingo, Connie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2016
Last updated Feb 27th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558811372 NPPES
Other 1902896889 NPI

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