Organization
LFT FAMILY MEDICINE & PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DEPRINCE III DO (OWNER)
(856) 768-7737
Entity
Organization
Contact information
Practice address
403 COMMERCE LN, WEST BERLIN, NJ 08091-2513
(856) 768-7737
(856) 768-4477
Mailing address
PO BOX 19, CEDAR BROOK, NJ 08018-0019
(609) 704-1857
(609) 704-1859
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
25MB06561000
NJ
208VP0000X
Pain Medicine Physician
OS0089071
PA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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