Organization
VENTNOR PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMIOLA O ASEMOTA M.D. (OWNER/CEO)
(609) 487-6507
Entity
Organization
Contact information
Practice address
6601 VENTNOR AVE, SUITE #14, VENTNOR CITY, NJ 08406-2167
(609) 487-6507
(609) 487-6508
Mailing address
6601 VENTNOR AVE, SUITE #14, VENTNOR CITY, NJ 08406-2167
(609) 487-6507
(609) 487-6508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06156800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6482406
—
NJ
Enumeration date
06/30/2011
Last updated
06/30/2011
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