Organization
MID ATLANTIC MEDICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADIL ALI MD (MEDICAL DIRECTOR)
(856) 313-7911
Entity
Organization
Contact information
Practice address
120 CARNIE BLVD, SUITE 4, VOORHEES, NJ 08043-4520
(856) 751-7799
(856) 751-6660
Mailing address
33 FRANKLIN DR, VOORHEES, NJ 08043-2163
(856) 313-7911
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
25MA08725900
NJ
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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