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Organization
INFECTIOUS DISEASE CONSULTANTS OF SOUTH JERSEY LLC
Active
Organization
INFECTIOUS DISEASE CONSULTANTS OF SOUTH JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CARPENTER RN (OFFICE MANAGER)
(609) 677-1046
Entity
Organization
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 677-1046
(609) 677-1306
Mailing address
PO BOX 1283, MEDFORD, NJ 08055-6283
(609) 677-1046
(609) 677-1306
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA02594500
NJ
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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