Organization
SOUTH JERSEY NEUROCARE PA
Active
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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