# SQUARE ONE HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588247233
- **Authorized official:** DR. MATTHEW KASPAR APN (NURSE PRACTITIONER/PARTNER)
- **Authorized official phone:** (856) 938-8643

## Contact information

- **Practice address:** 199 6TH AVE \# B-2, MOUNT LAUREL, NJ 08054-9749
- **Practice address phone:** (856) 938-8642
- **Mailing address:** 6 TAISLEY CT, MEDFORD, NJ 08055-3207
- **Mailing address phone:** (856) 938-8642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 04/30/2021