# LOURDES MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOURDES MEDICAL ASSOCIATES, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982012167
- **Legal business name:** LOURDES MEDICAL ASSOCIATES, PA
- **Authorized official:** DR. STEVEN FOX MD (PRESIDENT)
- **Authorized official phone:** (856) 796-9200

## Contact information

- **Practice address:** 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
- **Practice address phone:** (856) 796-9200
- **Practice address fax:** (856) 796-9397
- **Mailing address:** 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
- **Mailing address phone:** (856) 796-9200
- **Mailing address fax:** (856) 796-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NJ | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014

## Other identifiers

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