Organization
ONSITE NEONATAL IOWA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY BAIN (CFO)
(856) 782-2212
Entity
Organization
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(856) 782-2212
(856) 679-4436
Mailing address
1000 HADDONFIELD BERLIN RD STE 210, VOORHEES, NJ 08043-3520
(856) 782-2212
(856) 679-4436
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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