MEDICARE: CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	2080P0203X	Pediatric Critical Care Medicine Physician
3	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1598777880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY, INC

Provider Business Mailing Address
First Line	:	100 E PENN SQ
Second Line	:	THE WANAMAKER BUILDING, 9TH FLOOR, NORTH
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-3323
Country	:	US
Telephone Number	:	267-425-9300
Fax Number	:	267-425-9331

Provider Business Practice Location Address
First Line	:	1012 LAUREL OAK ROAD
Second Line	:	CHOP SPECIALITY CENTER
City	:	VOORHEES
State	:	NJ
Zip	:	08043-3505
Country	:	US
Telephone Number	:	856-782-8750
Fax Number	:	215-590-2559

Authorized Official
Title or Position	:	ENROLLMENT MANAGER
Name	:	CHERISH FLOWERS
Credential	:
Telephone Number	:	267-425-9408

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	05/15/2024

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Directions to “CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY, INC ” Practice Location

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