Organization
OLLMC NEONATAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET C FERNANDES M. D. (MEDICAL DIRECTOR)
(856) 757-3988
Entity
Organization
Contact information
Practice address
1600 HADDON AVE, ICN, CAMDEN, NJ 08103-3101
(856) 757-3988
Mailing address
1600 HADDON AVE, ICN, CAMDEN, NJ 08103-3101
(856) 757-3988
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3169405
—
NJ
Enumeration date
12/27/2005
Last updated
06/30/2008
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