Organization
SOUTH JERSEY FAMILY & SPECIALTY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL HUSSAIN (DIRECTOR)
(856) 764-4115
Entity
Organization
Contact information
Practice address
2906 ROUTE 130, DELRAN, NJ 08075-2521
(856) 764-4115
(856) 764-4116
Mailing address
2906 ROUTE 130 N, DELRAN, NJ 08075-2521
(856) 764-4115
(856) 764-4116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB07370900
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08374000
NJ
Other
Enumeration date
12/08/2009
Last updated
01/25/2015
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