Ppmd West Berlin 1st Floor
NPI #1821496712 in West Berlin, New Jersey
Provider Information
- NPI Number
- 1821496712
- Entity Type
- Organization
- Organization Name
- Ppmd West Berlin 1st Floor
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC.
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Dec 9, 2014
- Last Updated
- Dec 9, 2014
Practice Location
- Address
- 411 COMMERCE LN
- Address 2
- FIRST FLOOR
- City
- West Berlin
- State
- New Jersey
- ZIP Code
- 08091-9254
- Phone
- (856) 753-7935
Authorized Official
- Name
- MRS. LEEANNA ROMAN-LOZADA
- Title
- PRECIDENT / CEO
- Phone
- (856) 753-7763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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