Organization
DESTYONCALL PEDIATRICS
Active
Other names
DestyOnCall HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERDA AUGUSTIN MD (PEDIATRICIAN)
(856) 627-6101
Entity
Organization
Contact information
Practice address
321 YALE AVE, SUITE D, STRATFORD, NJ 08084-1247
(856) 627-6101
(856) 627-6103
Mailing address
321 YALE AVE, SUITE D, STRATFORD, NJ 08084-1247
(856) 627-6101
(856) 627-6103
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063002
—
NJ
Enumeration date
06/02/2009
Last updated
06/02/2009
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