Organization
OLLMC NEONATAL ASSOCIATES
Active
Parent organization
OLLMC NEONATAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLLMC NEONATAL ASSOCIATES
Authorized official
MARGARET FERNANDES M. D. (CHIEF OF NEONATOLOGY)
(856) 757-3988
Entity
Organization
Contact information
Practice address
509 N BROAD ST, WOODBURY, NJ 08096-1617
(856) 845-0100
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1736
(856) 796-9200
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
09/29/2008
Last updated
09/29/2008
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