Organization
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Active
Parent organization
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Other names
Women's Healthcare of Burlington County
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Authorized official
GENE JOHNSON (CHIEF ADMINISTRATIVE OFFICER)
(609) 835-3056
Entity
Organization
Contact information
Practice address
220 SUNSET RD, SUITE 1B, WILLINGBORO, NJ 08046-1126
(609) 835-5204
(609) 835-5267
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10303
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051209
—
NJ
Enumeration date
03/31/2008
Last updated
06/17/2015
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