Organization
THE NEMOURS FOUNDATION
Active
Parent organization
THE NEMOURS FOUNDATION
Other names
Nemours duPont Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE NEMOURS FOUNDATION
Authorized official
MR. RODNEY A MCKENDREE (VP, FINANCE)
(904) 697-5628
Entity
Organization
Contact information
Practice address
2500 ENGLISH CREEK AVE, SUITE 1001, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 641-3700
(302) 651-4549
Mailing address
PO BOX 404112, C/O MANAGED CARE, ATLANTA, GA 30384-4112
(904) 390-3610
(904) 697-5630
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072420
MEDICARE GROUP NUMBER
NJ
05
—
5030129
—
NJ
Enumeration date
01/18/2007
Last updated
05/31/2013
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