# PULMONARY AFFILIATES OF SOUTH JERSEY INC

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

## Provider details

- **NPI number:** 1275550923
- **Authorized official:** DIPAKKUMAR PURUSHOTTAM MALLI M.D. (PRESIDENT)
- **Authorized official phone:** (856) 427-4477

## Contact information

- **Practice address:** 140 E EVESHAM RD, CHERRY HILL, NJ 08003-3949
- **Practice address phone:** (856) 427-4477
- **Practice address fax:** (856) 427-9199
- **Mailing address:** 1416 SPRUCE AVE, VOORHEES, NJ 08043-3649
- **Mailing address phone:** (609) 471-1000
- **Mailing address fax:** (856) 427-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 25MA07352400 | NJ | — |
| 207RP1001X | Pulmonary Disease Physician | 25MA07352400 | NJ | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 25MA07352400 | NJ | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 09/11/2025