Organization
CMC DEPARTMENT OF MEDICINE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 342-2921
Entity
Organization
Contact information
Practice address
900 CENTENNIAL BLVD, SUITE K, VOORHEES, NJ 08043-4689
(856) 325-6789
(856) 325-6545
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090398000
PULMONARY GRP#
NJ
Enumeration date
03/14/2007
Last updated
07/16/2008
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