Healthcare Provider Details
I. General information
NPI: 1831303320
Provider Name (Legal Business Name): CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2301 E EVESHAM RD BLDG 800, STE 221
VOORHEES NJ
08043-4501
US
IV. Provider business mailing address
2301 E EVESHAM RD BLDG 800, STE 221
VOORHEES NJ
08043-4501
US
V. Phone/Fax
- Phone: 856-772-1225
- Fax: 856-772-6336
- Phone: 856-772-1225
- Fax: 856-772-6336
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STACY
GRECO
Title or Position: SR. ENROLLMENT MANAGER
Credential:
Phone: 223-341-8516