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Organization

SOUTH JERSEY NEUROCARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID CHARLES LEE M.D. (PRESIDENT)
(609) 714-7774
Entity
Organization

Contact information

Practice address
520 STOKES RD, SUITE A-4, MEDFORD, NJ 08055-2904
(609) 714-7774
(609) 714-7775
Mailing address
520 STOKES RD, SUITE A-4, MEDFORD, NJ 08055-2904
(609) 714-7774
(609) 714-7775

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49817
NJ

Other

Enumeration date
12/02/2005
Last updated
05/18/2011
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