Organization
PULMONARY AFFILIATES OF SOUTH JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAKKUMAR PURUSHOTTAM MALLI M.D. (PRESIDENT)
(856) 427-4477
Entity
Organization
Contact information
Practice address
140 E EVESHAM RD, CHERRY HILL, NJ 08003-3949
(856) 427-4477
(856) 427-9199
Mailing address
1416 SPRUCE AVE, VOORHEES, NJ 08043-3649
(609) 471-1000
(856) 427-9199
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA07352400
NJ
207RP1001X
Pulmonary Disease Physician
25MA07352400
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
25MA07352400
NJ
Other
Enumeration date
07/17/2006
Last updated
09/11/2025
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