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Organization
ONSITE NEONATAL GEORGIA PC
Active
Organization
ONSITE NEONATAL GEORGIA PC
Active
Parent organization
ONSITE NEONATAL PC
Other names
Georgia
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONSITE NEONATAL PC
Authorized official
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
09/27/2018
Last updated
09/27/2018
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