Advocare Delgiorno Pediatric & Adult Medicine | |
535 S Black Horse Pike Blackwood NJ 08012-2868 | |
(856) 228-1061 | |
(856) 228-1907 |
Full Name | Advocare Delgiorno Pediatric & Adult Medicine |
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Speciality | Pediatrics |
Location | 535 S Black Horse Pike, Blackwood, New Jersey |
Authorized Official Name and Position | Dawn M Candia (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 8568727053 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advocare Delgiorno Pediatric & Adult Medicine Po Box 71422 Philadelphia PA 19176-1422 Ph: (856) 782-3300 | Advocare Delgiorno Pediatric & Adult Medicine 535 S Black Horse Pike Blackwood NJ 08012-2868 Ph: (856) 228-1061 |
NPI Number | 1407867518 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 05/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407867518 | NPI | - | NPPES |
31D0117398 | Other | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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