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Organization

MYSTIC ISLAND PEDIATRIC ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GENE CHIU LEE MD (VP)
(609) 294-5500
Entity
Organization

Contact information

Practice address
104 E ANCHOR DR, LITTLE EGG HARBOR TWP, NJ 08087-1643
(609) 294-5500
(609) 294-5700
Mailing address
104 E ANCHOR DR, LITTLE EGG HARBOR TWP, NJ 08087-1643
(609) 294-5500
(609) 294-5700

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA05073700
NJ

Other

Enumeration date
05/18/2010
Last updated
05/18/2010
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