# LOURDES MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOURDES MEDICAL ASSOCIATES, PA
- **Other names:** Lourdes Medical Associates Chronic Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194238246
- **Legal business name:** LOURDES MEDICAL ASSOCIATES, PA
- **Authorized official:** DR. STEVEN FOX MD (PRESIDENT)
- **Authorized official phone:** (856) 796-9200

## Contact information

- **Practice address:** 1113 HOSPITAL DR STE 305, WILLINGBORO, NJ 08046-1130
- **Practice address phone:** (609) 835-3450
- **Practice address fax:** (609) 835-3459
- **Mailing address:** 500 GROVE ST STE 100, HADDON HEIGHTS, NJ 08035-1761
- **Mailing address phone:** (856) 796-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SC2300X | Chronic Care Clinical Nurse Specialist | — | NULL | Yes |
| 364SC2300X | Chronic Care Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 11/13/2017