Grove Enterprises
Clinic/Center, Multi-Specialty in Marlton, NJ. Organization (NPI-2).
NPI number1265714331
StatusActive
Last updated in NPPESSep 15, 2011
Details
- NPI
- 1265714331
- Entity type
- Organization (NPI-2)
- Legal business name
- Grove Enterprises
- Organization subpart
- No
- Enumeration date
- Sep 15, 2011
- Last updated
- Sep 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | NJ | Yes |
Practice location
2001 Lincoln Dr W Ste AMarlton, NJ 08053-1531
Phone 856-577-0332 · Fax 856-396-5534
Mailing address
Po Box 533Moorestown, NJ 08057-0533
Phone 856-663-3000
Authorized official
C Marlo Baird
Director
8565770332
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