# SOUTH JERSEY HEALTHCARE OCCUPATIONAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1588970685
- **Authorized official:** MRS. KELLIE MAE CERVINI APN-C (NURSE PRACTITIONER)
- **Authorized official phone:** (856) 507-8548

## Contact information

- **Practice address:** 1038 E CHESTNUT AVE, SUITE 120, VINELAND, NJ 08360-5800
- **Practice address phone:** (856) 507-8548
- **Practice address fax:** (856) 507-2709
- **Mailing address:** 1038 E CHESTNUT AVE, SUITE 120, VINELAND, NJ 08360-5800
- **Mailing address phone:** (856) 507-8548
- **Mailing address fax:** (856) 507-2709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 26NJ00272600 | NJ | — |
| 261QX0100X | Occupational Medicine Clinic/Center | 26NJ00272600 | NJ | Yes |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 01/19/2012