Clementon Family Practice & Ambulatory Care
Family Medicine in Lindenwold, NJ. Organization (NPI-2).
NPI number1669770533
StatusActive
Last updated in NPPESMar 2, 2011
Details
- NPI
- 1669770533
- Entity type
- Organization (NPI-2)
- Legal business name
- Clementon Family Practice & Ambulatory Care
- Organization subpart
- No
- Enumeration date
- Mar 2, 2011
- Last updated
- Mar 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
657 Blackwood Clementon RoadLindenwold, NJ 08021
Phone 856-566-8325 · Fax 856-566-8326
Mailing address
657 Blackwood Clementon RoadLindenwold, NJ 08021
Phone 856-566-8325 · Fax 856-566-8326
Authorized official
Pradip N Patel
MD
8565668325
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