Mystic Island Pediatric Associates, LLC
Mystic Island Pediatric Associates, LLC is a Medical Specialty Clinic/Center in Little Egg Harbor Twp, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.
- Licensed in
- NJ
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
104 E Anchor DrLittle Egg Harbor Twp, NJ 08087-1643
Phone: (609) 294-5500
Fax: (609) 294-5700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 25MA05073700 (NJ) |
|---|
Record details
| NPI number | 1679892533 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gene Lee — Vp · (609) 294-5500 |
| NPI enumerated | May 18, 2010 |
| Last updated in NPPES | May 18, 2010 |
| Mailing address | 104 E Anchor Dr, Little Egg Harbor Twp, NJ 08087-1643 |