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Destyoncall Pediatrics
Primary Care Clinic/Center in Stratford, New Jersey
NPI 1073749222

Destyoncall Pediatrics is a Primary Care Clinic/Center based in Stratford, NJ and is specialized in Primary Care. Destyoncall Pediatrics practices in Stratford, NJ. The NPI Number for Destyoncall Pediatrics is 1073749222 and holds a License No. (New Jersey).

The current practice location address for Destyoncall Pediatrics is 321 Yale Ave, Stratford, NJ and can be reached out via phone at 856-627-6101 and via fax at 856-627-6103.

Location: 321 Yale Ave, Stratford, NJ, 08084-1247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073749222
Provider Name
Destyoncall Pediatrics
Credential
Provider Entity Type
Organization
Address
321 Yale Ave, Stratford, NJ, 08084-1247
Phone Number
856-627-6101
Fax Number
856-627-6103
Provider Enumeration Date
06/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0063002 05 NJ
institution
Provider Business Practice Location Address Details
Address
321 Yale Ave
City
Stratford
State
New Jersey
Zip
08084-1247
Phone Number
856-627-6101
Fax Number
856-627-6103
person
Provider Business Mailing Address Details
Address
321 Yale Ave
City
Stratford
State
New Jersey
Zip
08084-1247
Phone Number
856-627-6101
Fax Number
856-627-6103
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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