Organization
LOURDES MEDICAL ASSOCIATES, PA
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, PA
Other names
Lourdes Medical Associates Chronic Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, PA
Authorized official
DR. STEVEN FOX MD (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
1113 HOSPITAL DR STE 305, WILLINGBORO, NJ 08046-1130
(609) 835-3450
(609) 835-3459
Mailing address
500 GROVE ST STE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
Taxonomy
Speciality
Code
Description
License number
State
364SC2300X
Chronic Care Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
11/13/2017
Last updated
11/13/2017
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