# LOURDES MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOURDES MEDICAL ASSOCIATES, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477723245
- **Legal business name:** LOURDES MEDICAL ASSOCIATES, PA
- **Authorized official:** DR. STEVEN FOX MD (PRESIDENT)
- **Authorized official phone:** (865) 796-9200

## Contact information

- **Practice address:** 728 MARNE HWY STE 100C, MOORESTOWN, NJ 08057-3128
- **Practice address phone:** (856) 234-9006
- **Practice address fax:** (856) 234-9233
- **Mailing address:** 500 GROVE ST STE 100, HADDON HEIGHTS, NJ 08035-1761
- **Mailing address phone:** (856) 796-9200
- **Mailing address fax:** (856) 796-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 25MA05473800 | NJ | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 03/17/2018