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Contact Information

PREMIER PEDIATRIC CARDIOLOGY LLC
750 ROUTE 73 S
MARLTON, NJ08053-4141
 Phone: 856-872-2868
 Fax: 856-872-2876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PREMIER PEDIATRIC CARDIOLOGY LLC · (Female)

NPI # 1962866566
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2016
Last updated 10/20/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA08663900
  • PA License # MD436538
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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