Organization
OUR LADY OF LOURDES MEDICAL CENTER
Active
Parent organization
OUR LADY OF LOURDES MEDICAL CENTER
Other names
OLOLMC Internal Medicine Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES MEDICAL CENTER
Authorized official
ALEXANDER HATALA (CEO)
(856) 757-3500
Entity
Organization
Contact information
Practice address
1600 HADDON AVE, INTERNAL MEDICINE, CAMDEN, NJ 08103-3101
(856) 757-3500
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 310-0592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04819100
NJ
Other
Enumeration date
06/17/2010
Last updated
05/13/2015
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