Organization
OUR LADY OF LOURDES MEDICAL CENTER
Active
Organization
OUR LADY OF LOURDES MEDICAL CENTER
Active
Other names
Lourdes Mt. Laurel Dialysis Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW GUARNI (CFO)
(856) 824-3131
Entity
Organization
Contact information
Practice address
130 GAITHER DR, SUITE 172, MOUNT LAUREL, NJ 08054-1715
(856) 757-3776
Mailing address
100 FRONT ST, RIVERSIDE, NJ 08075-1181
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
10404
NJ
Other
Enumeration date
08/24/2005
Last updated
12/07/2007
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