# PROFESSIONAL MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1043477201
- **Authorized official:** NANCY LUKE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (856) 616-2393

## Contact information

- **Practice address:** 224 GROVELAND RD, 2ND FLOOR, VIRGINIA BEACH, VA 23452-5610
- **Practice address phone:** (757) 306-4706
- **Practice address fax:** (757) 306-4710
- **Mailing address:** 1 ALPHA AVE, SUITE 20, VOORHEES, NJ 08043-1049
- **Mailing address phone:** (856) 616-8836
- **Mailing address fax:** (856) 427-6181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 05/16/2008
