Organization
PEDIATRIC INTENSIVE CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M. TEDESCHI MD (CEO/ CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
101 CARNIE BLVD, PICU, VOORHEES, NJ 08043-1548
(856) 782-3300
(856) 504-8029
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041581
—
NJ
Enumeration date
05/20/2006
Last updated
03/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us