# OUR LADY OF LOURDES MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OUR LADY OF LOURDES MEDICAL CENTER
- **Other names:** OLOLMC Internal Medicine Hospitalists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013238799
- **Legal business name:** OUR LADY OF LOURDES MEDICAL CENTER
- **Authorized official:** ALEXANDER HATALA (CEO)
- **Authorized official phone:** (856) 757-3500

## Contact information

- **Practice address:** 1600 HADDON AVE, INTERNAL MEDICINE, CAMDEN, NJ 08103-3101
- **Practice address phone:** (856) 757-3500
- **Mailing address:** 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
- **Mailing address phone:** (856) 796-9200
- **Mailing address fax:** (856) 310-0592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA04819100 | NJ | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 05/13/2015