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Organization
ONSITE NEONATAL TEXAS PLLC
Active
Organization
ONSITE NEONATAL TEXAS PLLC
Active
Parent organization
ONSITE NEONATAL PA
Other names
Texas
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONSITE NEONATAL PA
Authorized official
MRS. KELLY JACK (AR TECHNICAL MANAGER)
(856) 782-2212
Entity
Organization
Contact information
Practice address
1000 HADDONFIELD BERLIN RD STE 210, VOORHEES, NJ 08043-3520
(856) 782-2212
(856) 782-2218
Mailing address
1000 HADDONFIELD BERLIN RD STE 210, VOORHEES, NJ 08043-3520
(856) 782-2212
(856) 782-2218
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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