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Organization
VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC
Active
Organization
VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI A REAVES DO (DOCTOR & CEO)
(609) 567-9003
Entity
Organization
Contact information
Practice address
640 N WHITE HORSE PIKE, HAMMONTON(ELM), NJ 08037
(609) 567-9003
(858) 373-2478
Mailing address
640 NORTH WHITE HORSE PIKE, HAMMONTON, NJ 08037
(609) 567-9003
(858) 373-2478
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
04/05/2012
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