Pediatric and Adolescent Medicine Group Nj
NPI #1134280043 in Blackwood, New Jersey
Provider Information
- NPI Number
- 1134280043
- Entity Type
- Organization
- Organization Name
- Pediatric and Adolescent Medicine Group Nj
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 400 E CHURCH ST
- City
- Blackwood
- State
- New Jersey
- ZIP Code
- 08012-3910
- Phone
- (856) 374-8446
Authorized Official
- Name
- MS. STELLA MAGLIOCCO
- Title
- OFFICE MANAGER
- Phone
- (856) 374-8446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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