| Organization Name: | PEDIATRIC AND ADOLESCENT MEDICINE GROUP NJ |
| NPI Number: | 1134280043 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STELLA MAGLIOCCO (OFFICE MANAGER) |
| Mailing Address: | 400 E Church St Blackwood |
| State: | NJ US |
| Postal Code: | 080123910 |
| Phone Number: | 8563748446 |
| Fax Number: | 8562329291 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who 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. |