Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Center for Adult Medicine of Snj PA

Organization Specialist · NPI 1407007578

Center for Adult Medicine of Snj PA provides Specialist services in Marlton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12000 Lincoln Dr West 405 Pavilions @ Greentree
Marlton, NJ 08053 Not confirmed with CMS for 10 years — call before visiting
Phone: (856) 985-0203
Fax: (856) 985-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA06992000 (NJ)

Record details

NPI number1407007578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahin Mirmanesh — Physician · (856) 985-0203
NPI enumeratedOctober 7, 2008
Last updated in NPPESFebruary 16, 2016
Mailing addressP.O. Box 3714, Cherry Hill, NJ 08034

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