# LOURDES MEDICAL ASSOCIATES, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOURDES MEDICAL ASSOCIATES, PA
- **Other names:** Lourdes Medical Associates Willingboro Towne Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831369768
- **Legal business name:** LOURDES MEDICAL ASSOCIATES, PA
- **Authorized official:** DR. STEVEN FOX MD (PRESIDENT)
- **Authorized official phone:** (856) 796-9200

## Contact information

- **Practice address:** 200 CAMPBELL DR, SUITE 102, WILLINGBORO, NJ 08046-1067
- **Practice address phone:** (609) 877-4545
- **Practice address fax:** (609) 877-5129
- **Mailing address:** 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
- **Mailing address phone:** (856) 796-9200
- **Mailing address fax:** (856) 796-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 05/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6535704 | — | NJ |