Mount Laurel Pediatrics Llc

LBN: Integrated Childrens Health
Mount Laurel Pediatrics Llc is an health care organization with primary practice located at 528 Lippincott Dr , Marlton NJ 08053-4805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Integrated Childrens Health can be contacted via phone (856) 983-3899, or through Ragothaman, Ramesh via phone (856) 983-3899.

Contact Information

Primary practice address
528 Lippincott Dr Marlton NJ 08053-4805
Fax: (856) 983-3997
Website:
Authorized official contact:
Name: Ragothaman, Ramesh Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07926600 New Jersey

Profile Details

NPI number 1407974512
LBN Legal business name Integrated Childrens Health
DBA Doing business as Mount Laurel Pediatrics Llc
Authorized official Ragothaman, Ramesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Mar 7th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407974512 NPPES
New Jersey MEDICAID 0084972

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