Destyoncall Pediatrics
NPI #1073749222 in Stratford, New Jersey
Provider Information
- NPI Number
- 1073749222
- Entity Type
- Organization
- Organization Name
- Destyoncall Pediatrics
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 2, 2009
- Last Updated
- Jun 2, 2009
Practice Location
- Address
- 321 YALE AVE
- Address 2
- SUITE D
- City
- Stratford
- State
- New Jersey
- ZIP Code
- 08084-1247
- Phone
- (856) 627-6101
Authorized Official
- Name
- DR. GERDA AUGUSTIN, MD
- Title
- PEDIATRICIAN
- Phone
- (856) 627-6101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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