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

Parkside Adolescent and Adult Medical Clinic

Organization Adolescent Medicine (Internal Medicine) Physician · NPI 1124254552

Parkside Adolescent and Adult Medical Clinic is an Adolescent Medicine (Internal Medicine) Physician in Camden, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009

Practice location Address checks out

1300 Princess Ave
Camden, NJ 08103-2911
Phone: (856) 964-5569
Fax: (856) 964-0744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0000X · Licence 25MAO8519200 (NJ)

Record details

NPI number1124254552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherita Latimore-Collier — Md · (856) 964-5569
NPI enumeratedMay 29, 2009
Last updated in NPPESJuly 30, 2009
Mailing address1300 Princess Ave, Camden, NJ 08103-2911