Organization
CHILD NEUROLOGY SERVICES OF SOUTHERN NEW JERSEY, P.A.
Active
Organization
CHILD NEUROLOGY SERVICES OF SOUTHERN NEW JERSEY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER JOSEPH MINARCIK JR. M.D. (PRESIDENT)
(856) 722-0100
Entity
Organization
Contact information
Practice address
110 MARTER AVE, SUITE 410, MOORESTOWN, NJ 08057-3124
(856) 722-0100
(856) 722-1107
Mailing address
110 MARTER AVE, SUITE 410, MOORESTOWN, NJ 08057-3124
(856) 722-0100
(856) 722-1107
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MA043682
NJ
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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