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Organization
SICKLERVILLE INTERNAL MEDICINE ASSOCIATES INC
Active
Organization
SICKLERVILLE INTERNAL MEDICINE ASSOCIATES INC
Active
Other names
S.I.M.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYNARD HOLGADO D.O. (MANAGING PARTNER)
(856) 237-8160
Entity
Organization
Contact information
Practice address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 237-8100
(856) 237-8142
Mailing address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 237-8100
(856) 237-8142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA61324
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3279600
—
NJ
Enumeration date
07/29/2006
Last updated
04/29/2008
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