Organization
SOUTH JERSEY MEDICAL ASSOCIATES, LLC
Active
Organization
SOUTH JERSEY MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHRISTOPHER GRAHAM APN-C (CO-OWNER)
(609) 451-1125
Entity
Organization
Contact information
Practice address
1304 ROUTE 47 UNIT WU-N2ND, RIO GRANDE, NJ 08242-1399
(609) 451-1125
(609) 438-7944
Mailing address
1304 ROUTE ROUTE 47 SOUTH, UNIT WU-N - 2ND FLOOR, RIO GRANDE, NJ 08242
(609) 451-1125
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0561053
—
NJ
05
—
0697320
—
NJ
Enumeration date
09/29/2019
Last updated
09/12/2024
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