SOUTH JERSEY PEDIATRIC ENDOCRINOLOGY, LLC; NPI #1932346269

Contact Information

SOUTH JERSEY PEDIATRIC ENDOCRINOLOGY, LLC

6712 WASHINGTON AVE
SUITE 203
EGG HARBOR TOWNSHIP, NJ 08234-1999

Phone: 609-204-0698
Fax: 609-272-3099
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for SOUTH JERSEY PEDIATRIC ENDOCRINOLOGY, LLC

NPI Number 1932346269

LBN Legal business name SOUTH JERSEY PEDIATRIC ENDOCRINOLOGY, LLC

Authorized official AUGUSTINE CHIKEZIE - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/08/2009

Last updated 01/08/2009 - About 17 years ago

Identifiers

NJ	License #	25MA05978100
NJ	Medicaid	7848803

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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