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Organization

NEMOURS NEW JERSEY PHYSICIAN PRACTICE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK MUMFORD (EVP, COO)
(302) 651-6890
Entity
Organization

Contact information

Practice address
1280 ALMONESSON RD, DEPTFORD, NJ 08096-5502
(800) 416-4441
Mailing address
10140 CENTURION PKWY N, C/O MANAGED CARE, JACKSONVILLE, FL 32256-0532
(904) 697-5629
(904) 697-5630

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/25/2013
Last updated
01/21/2026
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