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Organization
MYSTIC ISLAND PEDIATRICS PA
Active
Organization
MYSTIC ISLAND PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE HOPKINS (OFFICE MANAGER)
(609) 294-5500
Entity
Organization
Contact information
Practice address
104 E ANCHOR DR, LITTLE EGG HARBOR, NJ 08087-1643
(609) 294-5500
Mailing address
104 E ANCHOR DR, LITTLE EGG HARBOR, NJ 08087-1643
(609) 294-5500
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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