Organization
CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Active
Other names
CHCA NJ Development Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MIXZA SANTA (ENROLLMENT MANAGER)
(267) 425-9233
Entity
Organization
Contact information
Practice address
1012 LAUREL OAK RD, CHOP CARE NETWORK AT VOORHEES SCC, VOORHEES, NJ 08043-3505
(856) 435-1300
(267) 425-9299
Mailing address
100 E PENN SQ FL 9, CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC, PHILADELPHIA, PA 19107-3323
(267) 425-9233
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics 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
11/12/2013
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