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Organization
TATEM-BROWN FAMILY MEDICINE
Active
Organization
TATEM-BROWN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKTOR LUCAS CORPUZ M.D. (RESIDENT)
(808) 227-8089
Entity
Organization
Contact information
Practice address
2225 E EVESHAM RD STE 101, VOORHEES, NJ 08043-1557
(856) 325-3700
Mailing address
2225 E EVESHAM RD STE 101, VOORHEES, NJ 08043-1557
(856) 325-3700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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