Organization
COLON AND RECTAL SURGICAL CENTER OF SOUTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L KOWALEWSKI (BILLING MGR)
(856) 753-0913
Entity
Organization
Contact information
Practice address
217 MADISON AVE, LUMBERTON, NJ 08048-2901
(609) 261-5550
(609) 261-3009
Mailing address
501 OFFICE CENTER DR, SUITE 188, FORT WASHINGTON, PA 19034-3220
(609) 261-5550
(609) 261-3009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7909306
—
NJ
Enumeration date
02/16/2007
Last updated
02/06/2008
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