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CAJULIS PEDIATRICS NPI 1932645447


NPI Information

NPI: 1932645447
Provider Name: CAJULIS PEDIATRICS

Doing Business As: RED LION PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D0891264

Address:
3998 RED LION RD
SUITE 215
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 632-5437
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CAJULIS PEDIATRICS is a pediatrics in Philadelphia, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CAJULIS PEDIATRICS NPI is 1932645447. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Red Lion Pediatrics.

The provider's business location address is:

3998 RED LION RD
SUITE 215
PHILADELPHIA, PA
ZIP 19114-445
Phone: (215) 632-5437
Fax: (215) 824-4114

The provider's authorized official is Jinn Wien Cajulis .
The authorized official title is Md and has the following contact phone number (215) 632-5437.

The CLIA number assigned to this NPI record is 39D0891264 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 1/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD426695PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101855458MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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