Organization
PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERITA MONAI LATIMORE-COLLIER MD (MD)
(856) 964-5569
Entity
Organization
Contact information
Practice address
1300 PRINCESS AVE, CAMDEN, NJ 08103-2911
(856) 964-5569
(856) 964-0744
Mailing address
1300 PRINCESS AVE, CAMDEN, NJ 08103-2911
(856) 964-5569
(856) 964-0744
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
25MAO8519200
NJ
Other
Enumeration date
05/29/2009
Last updated
07/30/2009
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