Provider Demographics
NPI:1285051524
Name:ST CHRIS ONSITE PEDIATRIC PARTNERS LLC
Entity type:Organization
Organization Name:ST CHRIS ONSITE PEDIATRIC PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF MANAGERS SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BREUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-782-2212
Mailing Address - Street 1:1000 HADDONFIELD BERLIN RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3520
Mailing Address - Country:US
Mailing Address - Phone:856-782-2212
Mailing Address - Fax:856-782-2218
Practice Address - Street 1:1000 HADDONFIELD BERLIN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3520
Practice Address - Country:US
Practice Address - Phone:856-782-2212
Practice Address - Fax:856-782-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty