NPI: 1124082839 · DEPTFORD, NJ 08096 · Pediatrics Physician · NPI assigned 04/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $521.42 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $521.42 |