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Organization
SOUTH MAIN MEDICAL ASSOCIATES, LLC
Active
Organization
SOUTH MAIN MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA KACZAJ M.D. (OWNER)
(856) 213-6080
Entity
Organization
Contact information
Practice address
1317 S MAIN RD, SUITE 2 C, VINELAND, NJ 08360-6511
(856) 213-6080
(856) 213-6092
Mailing address
1317 S MAIN RD, SUITE 2 C, VINELAND, NJ 08360-6511
(856) 213-6080
(856) 213-6092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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