Organization
SPRINGDALE ROAD MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE S FORMAN DO (PRESIDENT)
(856) 348-8444
Entity
Organization
Contact information
Practice address
2428 ROUTE 38, SUITE 306, CHERRY HILL, NJ 08002-1241
(856) 348-8444
(856) 348-8446
Mailing address
2428 ROUTE 38, SUITE 306, CHERRY HILL, NJ 08002-1241
(856) 348-8444
(856) 348-8446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB02310600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5181101
—
NJ
Enumeration date
12/13/2006
Last updated
08/22/2020
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