Organization · NPI-2

Clinical Healthcare Associates Of New Jersey Specialty Practices PC

Internal Medicine · Bala Cynwyd, PA

NPI number1104630714
StatusActive
Last updated in NPPESNov 21, 2025

Details

NPI
1104630714
Entity type
Organization (NPI-2)
Legal business name
Clinical Healthcare Associates Of New Jersey Specialty Practices PC
Organization subpart
No
Enumeration date
Feb 4, 2025
Certification date
Nov 21, 2025
Last updated
Nov 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

150 Monument Rd Fl 4
Bala Cynwyd, PA 19004-1702

Phone 610-902-1738

Mailing address

150 Monument Rd Fl 4
Bala Cynwyd, PA 19004-1702

Authorized official

Stacy Greco
Enrollment Supervisor
2233418516

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