Healthcare Provider Details

I. General information

NPI: 1134173834
Provider Name (Legal Business Name): CHILDREN AND ADOLESCENT RAPID EMERGENCY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CARNIE BLVD CARES
VOORHEES NJ
08043-1548
US

IV. Provider business mailing address

402 LIPPINCOTT DR
MARLTON NJ
08053-4112
US

V. Phone/Fax

Practice location:
  • Phone: 856-782-3300
  • Fax: 856-504-8029
Mailing address:
  • Phone: 856-782-3300
  • Fax: 856-504-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN M TEDESCHI
Title or Position: PRESIDENT
Credential: MD
Phone: 856-782-3300