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Organization
PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY
Active
Organization
PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS YON LEE M.D. (OWNER)
(856) 439-0060
Entity
Organization
Contact information
Practice address
4510 CHURCH RD, MOUNT LAUREL, NJ 08054-2210
(856) 439-0060
(856) 452-0344
Mailing address
4510 CHURCH RD, MOUNT LAUREL, NJ 08054-2210
(856) 439-0060
(856) 452-0344
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
25MA07756900
NJ
Other
Enumeration date
05/10/2013
Last updated
10/24/2014
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