Son Light Pediatrics Pc
Pediatric Adolescent Medicine
Son Light Pediatrics Pc is a Willingboro, New Jersey based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
621 Beverly Rancocas Rd, Suite 2d East Ridge Plaza, Willingboro, New Jersey - 08046-3727. They can be contacted on phone at
609-877-6800.
NPI number (Unique professional ID) for Son Light Pediatrics Pc is
1790805869 which was assigned by NPPES on 30 Mar, 2007 and it was last updated on 09 Nov, 2011.
Son Light Pediatrics Pc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Son Light Pediatrics Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Son Light Pediatrics Pc |
|---|
Business Address:
Son Light Pediatrics Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 621 Beverly Rancocas Rd, Suite 2d East Ridge Plaza
Willingboro, NJ, 08046-3727
United States |
|---|
| Phone Number : | 609-877-6800 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790805869 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 30 Mar, 2007 |
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| Last Updated On : | 09 Nov, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Leaha Willis |
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| Official Title or Position : | PRACTICE ADMINISTRATOR |
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| Phone Number : | 609-877-6800 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Son Light Pediatrics Pc are as mentioned. Primary taxonomy code for Son Light Pediatrics Pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Son Light Pediatrics Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8739404 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 621 Beverly Rancocas Rd, Suite 2d East Ridge Plaza
Willingboro, NJ, 08046-3727
United States |
|---|
| Phone Number : | 609-877-6800 |
|---|
Business Location:
Patients can refer following map for directions to
Son Light Pediatrics Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.