PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC

NPI # 

Practice Address:

1000 Atlantic Ave , Camden E, 1St Floor

Camden, NJ, 08104-1132

Practice Phone:

856-338-1350

Practice Fax:

856-338-1406

License Number:

158220

License State:

NJ

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Medically Fragile Infants and Children Day Care

Taxonomy Code:

261QM3000X