MEDICARE: CHOP CLINICAL ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629158456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOP CLINICAL ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	3401 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2006 SALEM RD
Second Line	:
City	:	BURLINGTON TOWNSHIP
State	:	NJ
Zip	:	08016-2204
Country	:	US
Telephone Number	:	609-877-1500
Fax Number	:	609-877-4262

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	FABIAN STONE
Credential	:
Telephone Number	:	267-425-5765

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	01/22/2025

Similar Medicare Providers

1477650489 — DR. DENISE MARIE ARNAUD-TURNER M.D.
Practice Location Address:

2006 SALEM RD
BURLINGTON TOWNSHIP, NJ
08016-2204

Practice Phone: 609-877-1500
Practice Fax: 609-877-4262

1588112411 — COURTNEY GABRIELLE MONTEROSSO DO
Practice Location Address:

2006 SALEM RD
BURLINGTON TOWNSHIP, NJ
08016-2204

Practice Phone: 609-877-1500
Practice Fax:

1225032683 — DR. JODI LIEBMAN BERG MD
Practice Location Address:

2006 SALEM RD
BURLINGTON, NJ
08016-2204

Practice Phone: 609-877-1500
Practice Fax: 609-877-4262

1497248702 — MISS MELISSA LAINE LAKIN MSN, FNP-C
Practice Location Address:

6970 22 MILE RD
SHELBY TOWNSHIP, MI
48317-2204

Practice Phone: 248-840-8748
Practice Fax:

1073170528 — STEPHEN GRANT WAHLIG MD
Practice Location Address:

41 MALL RD
BURLINGTON, MA
01805-2204

Practice Phone: 781-744-8000
Practice Fax:

1063504660 — NEW JERSEY CVS PHARMACY LLC
Practice Location Address:

1021 NECK RD
BURLINGTON TOWNSHIP, NJ
08016-3959

Practice Phone: 609-386-5710
Practice Fax:

Directions to “CHOP CLINICAL ASSOCIATES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.