| Child Neurology Services Of Southern New Jersey, P.a. | |
|
110 Marter Ave Suite 410 Moorestown NJ 08057-3124 | |
| (856) 722-0100 | |
| (856) 722-1107 |
| Full Name | Child Neurology Services Of Southern New Jersey, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 110 Marter Ave, Moorestown, New Jersey |
| Authorized Official Name and Position | Chester Joseph Minarcik (PRESIDENT) |
| Authorized Official Contact | 8567220100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Neurology Services Of Southern New Jersey, P.a. 110 Marter Ave Suite 410 Moorestown NJ 08057-3124 Ph: (856) 722-0100 | Child Neurology Services Of Southern New Jersey, P.a. 110 Marter Ave Suite 410 Moorestown NJ 08057-3124 Ph: (856) 722-0100 |
| NPI Number | 1598976417 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598976417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | MA043682 (New Jersey) | Primary |
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