Organization
CMC DEPARTMENT OF MEDICINE GROUP PA
Active
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
Update your record
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