Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Center for Adult Medicine of Snj PA

Organization Specialist · NPI 1407007578

Center for Adult Medicine of Snj PA is a Specialist in Marlton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12000 Lincoln Dr West 405 Pavilions @ Greentree
Marlton, NJ 08053
Phone: (856) 985-0203
Fax: (856) 985-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA06992000 (NJ)

Record details

NPI number1407007578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahin Mirmanesh — Physician · (856) 985-0203
NPI enumeratedOctober 7, 2008
Last updated in NPPESFebruary 16, 2016
Mailing addressP.O. Box 3714, Cherry Hill, NJ 08034

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