Organization
PINELANDS PEDIATRIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON KAUS DO (OWNER)
(856) 885-4854
Entity
Organization
Contact information
Practice address
1303 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
(856) 885-4854
(856) 885-4896
Mailing address
1303 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
(856) 885-4854
(856) 885-4896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB08379900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167193
—
NJ
Enumeration date
05/16/2016
Last updated
05/16/2016
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