Organization · NPI-2
Associates In Preventive Medicine, LLC
Clinic/Center · Marlton, NJ
NPI number1891020996
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1891020996
- Entity type
- Organization (NPI-2)
- Legal business name
- Associates In Preventive Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2009
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 25mb07553000 | NJ | Yes |
Other names
- Cherryhill Clinic For Preventive Medicine (Doing Business As)
Practice location
538 Lippincott Dr Bldg EMarlton, NJ 08053-4806
Phone 856-489-0505 · Fax 856-489-0435
Mailing address
538 Lippincott Dr Bldg EMarlton, NJ 08053-4806
Phone 856-489-0505 · Fax 856-616-9259
Authorized official
Molly Fantasia
Clinical Director
8564899480
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