Organization
CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Active
Other names
CHCA NJ Allergy & Immunology
Organization subpart
No
Provider details
NPI number
Authorized official
MIXZA SANTA (ENROLLMENT MANAGER)
(267) 425-9233
Entity
Organization
Contact information
Practice address
1012 LAUREL OAK RD, CHOP CARE NETWORK AT VOORHEES SCC, VOORHEES, NJ 08043-3505
(856) 435-1300
(267) 425-9299
Mailing address
100 E PENN SQ FL 9, CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC, PHILADELPHIA, PA 19107-3323
(267) 425-9233
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001025402
—
DE
05
—
0006558520006
—
PA
05
—
8241601
—
NJ
05
—
8241601
—
NY
Enumeration date
10/04/2006
Last updated
11/12/2013
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