Organization
GENESIS PEDIATRICS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA SUE DURELLI MD (CO-OWNER)
(856) 848-2332
Entity
Organization
Contact information
Practice address
297 WESTWOOD DR, SUITE 101, WEST DEPTFORD, NJ 08096-3144
(856) 848-2332
(856) 848-5955
Mailing address
297 WESTWOOD DR, SUITE 101, WEST DEPTFORD, NJ 08096-3144
(856) 848-2332
(856) 848-5955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA044017
NJ
Other
Enumeration date
06/06/2006
Last updated
08/22/2020
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