Organization
INSPIRA MEDICAL CENTER WOODBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY MADISON D.O. (MEDICAL DIRECTOR)
(856) 845-0100
Entity
Organization
Contact information
Practice address
509 N BROAD ST, DOWNS BUILDING, SECOND FLOOR, WOODBURY, NJ 08096-1617
(856) 686-5632
(856) 686-5119
Mailing address
509 N BROAD ST, DOWNS BUILDING, SECOND FLOOR, WOODBURY, NJ 08096-1617
(856) 686-5632
(856) 686-5119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05607300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3676102
—
NJ
Enumeration date
05/04/2015
Last updated
05/04/2015
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