# OLLMC NEONATAL ASSOCIATES

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

## Provider details

- **NPI number:** 1962652891
- **Legal business name:** OLLMC NEONATAL ASSOCIATES
- **Authorized official:** MARGARET FERNANDES M. D. (CHIEF OF NEONATOLOGY)
- **Authorized official phone:** (856) 757-3988

## Contact information

- **Practice address:** 509 N BROAD ST, WOODBURY, NJ 08096-1617
- **Practice address phone:** (856) 845-0100
- **Mailing address:** 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1736
- **Mailing address phone:** (856) 796-9200

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 09/29/2008