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Organization

HOLLY CITY PEDIATRICS,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILY SERRANO (OFFICE MANAGER)
(856) 825-5932
Entity
Organization

Contact information

Practice address
10 EAST MAIN ST HOLLY CITY PEDIATRICS, SUITE A, MILLVILLE, NJ 08332
(856) 825-5932
(856) 825-4819
Mailing address
10 EAST MAIN ST HOLLY CITY PEDIATRICS, SUITE A, MILLVILLE, NJ 08332
(856) 825-5932
(856) 825-4819

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA6269600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7684801
NJ
Enumeration date
03/02/2007
Last updated
04/20/2012
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