Organization
ENDOSCOPY CENTER OF SOUTH JERSEY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI GARRISON (OFFICE MANAGER)
(856) 691-1400
Entity
Organization
Contact information
Practice address
602 W SHERMAN AVE, VINELAND, NJ 08360-7054
(856) 691-1400
(856) 691-7117
Mailing address
602 W SHERMAN AVE, VINELAND, NJ 08360-7054
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6397409
—
NJ
Enumeration date
06/19/2006
Last updated
11/20/2008
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