Mystic Island Pediatrics PA
NPI #1801951892 in Little Egg Harbor, New Jersey
Provider Information
- NPI Number
- 1801951892
- Entity Type
- Organization
- Organization Name
- Mystic Island Pediatrics PA
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Dec 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 104 E ANCHOR DR
- State
- New Jersey
- ZIP Code
- 08087-1643
- Phone
- (609) 294-5500
Authorized Official
- Name
- ARLENE HOPKINS
- Title
- OFFICE MANAGER
- Phone
- (609) 294-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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