Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Neurology - Sewell
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAYME (EVP & CFO)
(484) 628-1324
Entity
Organization
Contact information
Practice address
100 KINGS WAY E STE C, SEWELL, NJ 08080-2238
(856) 582-0644
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721212
—
NJ
Enumeration date
10/29/2019
Last updated
11/06/2025
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