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Organization
STC PEDIATRICS LLC
Active
Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Otolaryngology - Sewell
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-1324
Entity
Organization
Contact information
Practice address
100 KINGS WAY E STE C, SEWELL, NJ 08080-2238
(856) 582-0644
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/31/2019
Last updated
05/11/2022
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