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Organization

PULMONARY AND SLEEP ASSOCIATES OF SOUTH JERSEY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA MAZZETTI (CEO)
(856) 429-1800
Entity
Organization

Contact information

Practice address
107 BERLIN RD, CHERRY HILL, NJ 08034-3526
(856) 429-1800
(856) 429-1081
Mailing address
107 BERLIN RD, CHERRY HILL, NJ 08034-3526
(856) 429-1800
(856) 429-1081

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7351101
NJ
Enumeration date
07/19/2006
Last updated
05/02/2013
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