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Organization

ROWANSOM DEPT OF MATERNAL-FETAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICER)
(856) 770-5729
Entity
Organization

Contact information

Practice address
570 EGG HARBOR RD, SUITE C-2, SEWELL, NJ 08080-2359
(856) 218-0300
(856) 589-9487
Mailing address
570 EGG HARBOR RD, SUITE C-2, SEWELL, NJ 08080-2359
(856) 218-0300
(856) 589-9487

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0739469000
AMERIHEALTH
NJ
01
478591
AETNA
NJ
05
6304401
NJ
01
DQ4958
RR MEDICARE
NJ
Enumeration date
01/20/2006
Last updated
05/03/2013
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