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Contact Information

STC PEDIATRICS LLC
100 KINGS WAY E STE C
SEWELL, NJ08080-2238
 Phone: 856-582-0644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STC PEDIATRICS LLC · (Female)

NPI Number 1619511078
Status Active
Credentials
Entity Individual
Enumeration date 10/29/2019
Last updated 11/06/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 0721212
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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