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Organization
UNDERWOOD-MEMORIAL HOSPITAL
Active
Organization
UNDERWOOD-MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA INNAMORATO (OFFICE MANAGER)
(856) 223-0500
Entity
Organization
Contact information
Practice address
34 COLSON LN, MULLICA HILL, NJ 08062-1502
(856) 223-0500
(856) 223-0966
Mailing address
1120 DELSEA DR N, GLASSBORO, NJ 08028-1444
(856) 223-0500
(856) 223-0966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
207VG0400X
Gynecology Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7183402
—
NJ
Enumeration date
07/30/2006
Last updated
11/14/2008
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