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Organization

OLLMC NEONATAL ASSOCIATES

Active
Parent organization
OLLMC NEONATAL ASSOIATES
Organization subpart
Yes

Provider details

NPI number
Legal business name
OLLMC NEONATAL ASSOIATES
Authorized official
MARGARET FERNANDES M. D. (MEDICAL DIRECTOR)
(856) 757-3988
Entity
Organization

Contact information

Practice address
501 FRONT ST, ELMER, NJ 08318-2101
(856) 363-1000
Mailing address
1600 HADDON AVE, ICN, CAMDEN, NJ 08103-3101
(856) 757-3988
(856) 365-7868

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA03693600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3169405
NJ
Enumeration date
09/21/2009
Last updated
03/22/2010
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