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Organization
NJ PREVENTIVE HEALTH EDGE MEDICAL PC
Active
Organization
NJ PREVENTIVE HEALTH EDGE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN STEIN MD (PRESIDENT)
(917) 310-5621
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
(917) 310-5621
Mailing address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/09/2025
Last updated
05/13/2025
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