Lourdes Medical Associates, PA
Nurse Practitioner in Haddon Heights, NJ. Organization (NPI-2).
NPI number1982012167
StatusActive
Last updated in NPPESJul 31, 2014
Details
- NPI
- 1982012167
- Entity type
- Organization (NPI-2)
- Legal business name
- Lourdes Medical Associates, PA
- Organization subpart
- Yes
- Enumeration date
- Jul 31, 2014
- Last updated
- Jul 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | NJ | Yes |
Practice location
500 Grove StSuite 100
Haddon Heights, NJ 08035-1761
Phone 856-796-9200 · Fax 856-796-9397
Mailing address
500 Grove StSuite 100
Haddon Heights, NJ 08035-1761
Phone 856-796-9200 · Fax 856-796-9397
Authorized official
Steven Fox
President
8567969200
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