Provider Demographics
NPI:1003936113
Name:CHILDREN FIRST MEDICAL CARE, PA
Entity Type:Organization
Organization Name:CHILDREN FIRST MEDICAL CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OBLEADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-394-9599
Mailing Address - Street 1:1613 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4513
Mailing Address - Country:US
Mailing Address - Phone:609-394-9599
Mailing Address - Fax:609-394-5511
Practice Address - Street 1:1613 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4513
Practice Address - Country:US
Practice Address - Phone:609-394-9599
Practice Address - Fax:609-394-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center