# SOUTH JERSEY HYPERBARIC MEDICINE LLC

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

## Provider details

- **NPI number:** 1699216853
- **Authorized official:** SCOTT WAGNER MD (OWNER)
- **Authorized official phone:** (856) 686-4316

## Contact information

- **Practice address:** 1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
- **Practice address phone:** (856) 641-8000
- **Mailing address:** 307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
- **Mailing address phone:** (856) 686-4316
- **Mailing address fax:** (865) 291-3254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/20/2017