Organization
CHOP CLINICAL ASSOCIATES, INC
Active
Parent organization
CHOP CLINICAL ASSOCIATES, INC
Other names
CHOP Primary Care Moorestown
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOP CLINICAL ASSOCIATES, INC
Authorized official
FABIAN STONE (VP REVENUE CYCLE)
(267) 425-5765
Entity
Organization
Contact information
Practice address
200 MARTER AVE, SUITE 100, MOORESTOWN, NJ 08057-3114
(856) 235-2147
(856) 235-6905
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2591502
—
NJ
Enumeration date
10/25/2006
Last updated
01/22/2025
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