Organization
PEDIATRIC AND ADOLESCENT MEDICINE GROUP NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STELLA MAGLIOCCO (OFFICE MANAGER)
(856) 374-8446
Entity
Organization
Contact information
Practice address
400 E CHURCH ST, BLACKWOOD, NJ 08012-3910
(856) 374-8446
(856) 232-9291
Mailing address
400 E CHURCH ST, BLACKWOOD, NJ 08012-3910
(856) 374-8446
(856) 232-9291
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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