Center for Pediatrics Adolescent and Adult Medicine of Snj PA
Center for Pediatrics Adolescent and Adult Medicine of Snj PA provides Pediatrics Physician services in Marlton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12000 Lincoln Dr W Ste 311Marlton, NJ 08053-3402
Phone: (856) 985-8100
Fax: (856) 985-8374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 25MA05186900 (NJ) |
|---|
Record details
| NPI number | 1467508796 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jay Mirmanesh — President · (856) 985-8100 |
| NPI enumerated | January 27, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12000 Lincoln Dr W Ste 311, Marlton, NJ 08053-3405 |
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