Organization
WASHINGTON PEDIATRIC ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JEROME KARGMAN D.O. (DOCTOR)
(856) 589-0011
Entity
Organization
Contact information
Practice address
400 MEDICAL CENTER DR, SEWELL, NJ 08080-2362
(856) 589-0011
(856) 589-5015
Mailing address
400 MEDICAL CENTER DR # 5, SEWELL, NJ 08080-2362
(856) 589-0011
(856) 589-5015
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB06915100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930805
—
NJ
Enumeration date
06/19/2012
Last updated
09/24/2013
Update your record
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