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Organization

LOURDES MEDICAL ASSOCIATES, PA

Active
Parent organization
LOURDES MEDICAL ASSOCIATES, PA
Other names
LMA Center for Organ Transplantation
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, PA
Authorized official
MS. LINDA ROSENSON (CFO)
(856) 796-9200
Entity
Organization

Contact information

Practice address
1601 HADDON AVE, CAMDEN, NJ 08103-3109
(856) 757-3840
(856) 757-3519
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
(856) 310-5603

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA06038700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6535704
NJ
Enumeration date
03/11/2008
Last updated
06/16/2008
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