Organization
RIVER PRIMARY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK A ERVILUS NPC (FAMILY NURSE PRACTITIONER)
(856) 966-8088
Entity
Organization
Contact information
Practice address
2809 RIVER RD, CAMDEN, NJ 08105-4426
(856) 966-8088
(856) 966-8089
Mailing address
2809 RIVER RD, CAMDEN, NJ 08105-4426
(856) 966-8088
(856) 966-8089
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
26NN10322000
NJ
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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