# MOMENTUM MEDICINE PLUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023433604
- **Authorized official:** JUAN CARLOS CORNEJO DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (856) 552-2208

## Contact information

- **Practice address:** 113 WHITE HORSE RD W, SUITE 7, VOORHEES, NJ 08043-3672
- **Practice address phone:** (856) 552-2208
- **Mailing address:** 113 WHITE HORSE RD W, SUITE 7, VOORHEES, NJ 08043-3672
- **Mailing address phone:** (856) 552-2208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 25MB08477000 | NJ | Yes |

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 02/19/2014