Organization
KIDS CARE PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON M REGIS M.D. (PRESIDENT)
(609) 272-0655
Entity
Organization
Contact information
Practice address
6529 BLACK HORSE PK, EGG HARBOR TWP, NJ 08234-4509
(609) 645-8500
(609) 645-2574
Mailing address
22 NORTH FRANKLIN AVENUE, 2ND FLOOR, PLEASANTVILLE, NJ 08232
(609) 272-0655
(609) 272-9317
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3200903
—
NJ
Enumeration date
12/19/2005
Last updated
04/30/2012
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