Organization
EVERGREEN MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN ALTER MD (PHYSICIAN)
(856) 853-5888
Entity
Organization
Contact information
Practice address
1200 DELSEA DR, SUITE 10, WESTVILLE, NJ 08093-2267
(856) 853-5888
(215) 523-9281
Mailing address
1200 DELSEA DR, SUITE 10, WESTVILLE, NJ 08093-2267
(856) 853-5888
(215) 523-9281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04559800
NJ
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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