Organization
INTEGRATED CHILDRENS HEALTH
Active
Other names
Mount Laurel Pediatrics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMESH RAGOTHAMAN M.D. (PEDIATRICIAN)
(856) 983-3899
Entity
Organization
Contact information
Practice address
528 LIPPINCOTT DR, MARLTON, NJ 08053-4805
(856) 983-3899
(856) 983-3997
Mailing address
41 LAS BRISAS BLVD, VOORHEES, NJ 08043-3421
(856) 772-0483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07926600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084972
—
NJ
Enumeration date
03/27/2007
Last updated
03/07/2014
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