| Advocare Aygen Pediatrics | |
|
530 E Main St Ste 4a Chester NJ 07930-2669 | |
| (908) 879-4300 | |
| (908) 879-8956 |
| Full Name | Advocare Aygen Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 530 E Main St, Chester, New Jersey |
| Authorized Official Name and Position | Dewayne Hiebert (CHIEF, PAYOR RELATIONS AND POPULATI) |
| Authorized Official Contact | 8568727055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocare Aygen Pediatrics 401 Route 73 N Ste 320 Marlton NJ 08053-3426 Ph: (856) 872-7055 | Advocare Aygen Pediatrics 530 E Main St Ste 4a Chester NJ 07930-2669 Ph: (908) 879-4300 |
| NPI Number | 1043441421 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043441421 | NPI | - | NPPES |
| 31D0116586 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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