# OLLMC NEONATAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLLMC NEONATAL ASSOIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942534243
- **Legal business name:** OLLMC NEONATAL ASSOIATES
- **Authorized official:** MARGARET FERNANDES M. D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (856) 757-3988

## Contact information

- **Practice address:** 501 FRONT ST, ELMER, NJ 08318-2101
- **Practice address phone:** (856) 363-1000
- **Mailing address:** 1600 HADDON AVE, ICN, CAMDEN, NJ 08103-3101
- **Mailing address phone:** (856) 757-3988
- **Mailing address fax:** (856) 365-7868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 25MA03693600 | NJ | Yes |

## Other

- **Enumeration date:** 09/21/2009
- **Last updated:** 03/22/2010