# LOURDES MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOURDES MEDICAL ASSOCIATES, PA
- **Other names:** LMA Center for Organ Transplantation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104096668
- **Legal business name:** LOURDES MEDICAL ASSOCIATES, PA
- **Authorized official:** MS. LINDA ROSENSON (CFO)
- **Authorized official phone:** (856) 796-9200

## Contact information

- **Practice address:** 1601 HADDON AVE, CAMDEN, NJ 08103-3109
- **Practice address phone:** (856) 757-3840
- **Practice address fax:** (856) 757-3519
- **Mailing address:** 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
- **Mailing address phone:** (856) 796-9200
- **Mailing address fax:** (856) 310-5603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 25MA06038700 | NJ | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6535704 | — | NJ |