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Mystic Island Pediatric Associates, Llc
Medical Specialty Clinic/Center in Little Egg Harbor Twp, New Jersey
NPI 1679892533

Mystic Island Pediatric Associates, Llc is a Medical Specialty Clinic/Center based in Little Egg Harbor Twp, NJ and is specialized in Medical Specialty. Mystic Island Pediatric Associates, Llc practices in Little Egg Harbor Twp, NJ. The NPI Number for Mystic Island Pediatric Associates, Llc is 1679892533 and holds a License No. 25MA05073700 (New Jersey).

The current practice location address for Mystic Island Pediatric Associates, Llc is 104 E Anchor Dr, Little Egg Harbor Twp, NJ and can be reached out via phone at 609-294-5500 and via fax at 609-294-5700.

Location: 104 E Anchor Dr, Little Egg Harbor Twp, NJ, 08087-1643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679892533
Provider Name
Mystic Island Pediatric Associates, Llc
Credential
Provider Entity Type
Organization
Address
104 E Anchor Dr, Little Egg Harbor Twp, NJ, 08087-1643
Phone Number
609-294-5500
Fax Number
609-294-5700
Provider Enumeration Date
05/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 E Anchor Dr
City
Little Egg Harbor Twp
State
New Jersey
Zip
08087-1643
Phone Number
609-294-5500
Fax Number
609-294-5700
person
Provider Business Mailing Address Details
Address
104 E Anchor Dr
City
Little Egg Harbor Twp
State
New Jersey
Zip
08087-1643
Phone Number
609-294-5500
Fax Number
609-294-5700
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25MA05073700 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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