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CHILD NEUROLOGY SERVICES OF SOUTHERN NEW JERSEY P.A. NPI 1598976417


NPI Information

NPI: 1598976417
Provider Name: CHILD NEUROLOGY SERVICES OF SOUTHERN NEW JERSEY, P.A.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
110 MARTER AVE
SUITE 410
MOORESTOWN, NJ
ZIP 08057
Phone: (856) 722-0100
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CHILD NEUROLOGY SERVICES OF SOUTHERN NEW JERSEY, P.A. is a neurology with special qualifications in child neurology psychiatry neurology in Moorestown, NJ. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CHILD NEUROLOGY SERVICES OF SOUTHERN NEW JERSEY, P.A. NPI is 1598976417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 MARTER AVE
SUITE 410
MOORESTOWN, NJ
ZIP 08057-124
Phone: (856) 722-0100
Fax: (856) 722-1107

The provider's authorized official is Chester Joseph Minarcik .
The authorized official title is President and has the following contact phone number (856) 722-0100.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyMA043682NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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