Organization
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Active
Parent organization
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Other names
Lourdes After Hours Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
Authorized official
EUGENE JOHNSON (CCO)
(609) 835-2900
Entity
Organization
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(856) 824-3400
(856) 824-1403
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 310-0592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05827400
NJ
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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