# LOURDES MEDICAL ASSOCIATES, P. A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOURDES MEDICAL ASSOCIATES, P. A.
- **Other names:** lourdes Medical Associates Hospitalist Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306167507
- **Legal business name:** LOURDES MEDICAL ASSOCIATES, P. A.
- **Authorized official:** REGINALD BLABER M. D. (PRESIDENT)
- **Authorized official phone:** (856) 796-9200

## Contact information

- **Practice address:** 1600 HADDON AVE, CAMDEN, NJ 08103-3101
- **Practice address phone:** (856) 757-3500
- **Mailing address:** 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
- **Mailing address phone:** (856) 796-9200
- **Mailing address fax:** (856) 310-0592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MB06629000 | NJ | Yes |
| 2084N0400X | Neurology Physician | 25MA07709400 | NJ | — |

## Other

- **Enumeration date:** 06/22/2010
- **Last updated:** 06/22/2010