Organization
PEDIATRIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH E LORENTZ (PRACTICE MANAGER)
(856) 691-8585
Entity
Organization
Contact information
Practice address
1318 S MAIN ROAD, VINELAND, NJ 08360
(856) 691-8585
(856) 691-8489
Mailing address
1318 S MAIN ROAD, VINELAND, NJ 08360
(856) 691-8585
(856) 691-8489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4525604
—
NJ
Enumeration date
10/23/2006
Last updated
08/22/2020
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