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Organization
MYSTIC ISLAND PEDIATRIC ASSOCIATES, LLC
Active
Organization
MYSTIC ISLAND PEDIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE CHIU LEE MD (VP)
(609) 294-5500
Entity
Organization
Contact information
Practice address
1387 ROUTE 539 UNIT 2C, LITTLE EGG HARBOR TWP, NJ 08087-9804
(609) 296-1900
(609) 296-1906
Mailing address
1387 ROUTE 539 UNIT 2C, LITTLE EGG HARBOR TWP, NJ 08087-9804
(609) 296-1900
(609) 296-1906
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA05073700
NJ
Other
Enumeration date
05/18/2010
Last updated
09/04/2026
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