Organization
PEDIATRICIANS FOR EXCEPTIONAL CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M TEDESCHI MD (CEO/ CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
92 BRICK RD, 2ND FLOOR, MARLTON, NJ 08053-2177
(856) 782-3300
(856) 504-8029
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026085
—
NJ
Enumeration date
05/19/2006
Last updated
03/04/2010
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