# AYALA CHILD & ADOLESCENT PSYCHIATRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326329749
- **Authorized official:** DR. OMAR AYALA M.D. (PRESIDENT)
- **Authorized official phone:** (800) 943-1817

## Contact information

- **Practice address:** 2301 E EVESHAM RD, SUITE 304, VOORHEES, NJ 08043-4501
- **Practice address phone:** (800) 943-1817
- **Practice address fax:** (800) 943-1817
- **Mailing address:** 31 W 6TH AVE, RUNNEMEDE, NJ 08078-1315
- **Mailing address phone:** (800) 943-1817
- **Mailing address fax:** (800) 943-1817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 25MA08727400 | NJ | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 25MA08727400 | NJ | Yes |

## Other

- **Enumeration date:** 08/30/2011
- **Last updated:** 08/30/2011