# VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY, LLC

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

## Provider details

- **NPI number:** 1770855496
- **Authorized official:** MS. MA'SHEIL LATHAM (OFFICE MANAGER)
- **Authorized official phone:** (609) 567-9003

## Contact information

- **Practice address:** 640 WHITE HORSE PIKE, HAMMONTON, NJ 08037-9602
- **Practice address phone:** (609) 567-9003
- **Practice address fax:** (858) 373-2480
- **Mailing address:** 640 NORTH WHITE HORSE PIKE, HAMMONTON, NJ 08037-9602
- **Mailing address phone:** (609) 567-9003
- **Mailing address fax:** (858) 373-2480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00352500 | NJ | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/27/2012