OrganizationActive
Providence Pediatric Medical Daycare, Inc.
NPI 1083765010 · Medically Fragile Infants and Children Day Care · Camden, NJ
Provider details
- NPI number
- 1083765010
- Entity type
- Organization
- Primary specialty
- Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
- Authorized official
- Leeanna Roman, President
- License
- 158222 (NJ)
Practice location
1000 Atlantic Ave
Camden D, 2nd Floor
Camden, NJ 08104-1132
Phone: (856) 338-0900
Fax: (856) 338-0029
Mailing address
411 Commerce Ln
West Berlin, NJ 08091-9254
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2008-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.