Organization
VIRTUA SURGICAL GROUP, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIOSCORO VILLANUEVA M.D (PRESIDENT)
(856) 428-7700
Entity
Organization
Contact information
Practice address
1935 ROUTE 70 E, CHERRY HILL, NJ 08003-2117
(856) 428-7700
(856) 424-9120
Mailing address
7000 ATRIUM WAY, SUITE 6, MOUNT LAUREL, NJ 08054-3917
(856) 840-4500
(856) 291-6819
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA07300800
NJ
Other
Enumeration date
09/26/2007
Last updated
03/31/2014
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