Son Light Pediatrics Pc

LBN: Son Light Pediatrics Pc
Son Light Pediatrics Pc is an health care organization with primary practice located at 621 Beverly Rancocas Rd Suite 2D East Ridge Plaza, Willingboro NJ 08046-3727. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Son Light Pediatrics Pc can be contacted via phone (609) 877-6800, or through Willis, Leah A via phone (609) 877-6800.

Contact Information

Primary practice address
621 Beverly Rancocas Rd Suite 2D East Ridge Plaza Willingboro NJ 08046-3727
Phone: (609) 877-6800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Willis, Leah A
Phone: (609) 877-6800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1790805869
LBN Legal business name Son Light Pediatrics Pc
DBA Doing business as
Authorized official Willis, Leah A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Nov 9th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790805869 NPPES
New Jersey MEDICAID 8739404

Popular Providers