is a Pediatrics in Vineland, New Jersey. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for is 1104937259. The last update date is .
's current location address is 1138 E Chestnut Ave #5b, Vineland, New Jersey. You can contact this provider via phone number 8566921108 and fax number 8566922077. The mailing address for is 1138 E Chestnut Ave #5b, Vineland, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1138 E Chestnut Ave #5b, Vineland, New Jersey |
| Phone Number | 8566921108 |
| Fax Number | 8566922077 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104937259 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1138 E Chestnut Ave #5b |
|---|---|
| City | Vineland |
| State | New Jersey (NJ) |
| Post Code | 83605062 |
| Phone Number | 8566921108 |
| Fax Number | 8566922077 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 513129001 | AMERIHEALTH HIPPA | ||
| 679080 | AMERIHEALTH | ||
| F03778 | PHYSICIANS HEALTH | ||
| 1043187 | NJ | HORIZON HEALTH | |
| E337 | AMERIGROUP | ||
| 3041 | AETNA | ||
| 3394603 | NJ | -- |
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