Organization
INTEGRATED HEALTH MEDICAL SYSTEM PC
Active
Other names
cherry hill clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY FANTASIA PHD (REGISTARED AGENT)
(856) 489-0505
Entity
Organization
Contact information
Practice address
1930 ROUTE 70 E, SUITE I 48, CHERRY HILL, NJ 08003-2150
(856) 489-0505
(856) 489-0435
Mailing address
1930 ROUTE 70 E, SUITE I 48, CHERRY HILL, NJ 08003-2150
(856) 489-0505
(856) 489-0435
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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