Organization
SUMMIT HEALTH-VIRTUA INC., CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DWYER D.O (EXECUTIVE VICE PRESIDENT)
(856) 355-0007
Entity
Organization
Contact information
Practice address
90 BRICK RD, MARLTON, NJ 08053-2177
(856) 355-6057
(856) 988-6270
Mailing address
5 EVES DR, SUITE 120A, MARLTON, NJ 08053-3135
(856) 355-0344
(856) 355-0346
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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