Organization
CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CORBO (FINANCE OFFICER)
(215) 567-2422
Entity
Organization
Contact information
Practice address
1012 LAUREL OAK RD, SPECIALTY CENTER AT VOORHEES - CHOP, VOORHEES, NJ 08043-3505
(856) 435-1300
(215) 977-8864
Mailing address
100 N 20TH ST STE 301, CHCA, PHILADELPHIA, PA 19103-1454
(215) 567-2422
(215) 977-8864
Taxonomy
Speciality
Code
Description
License number
State
2080T0002X
Pediatric Medical Toxicology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001025402
—
DE
05
—
0006558520006
—
PA
05
—
02278884
—
NY
05
—
8241601
—
NJ
Enumeration date
10/04/2006
Last updated
08/04/2011
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