Organization
LOURDES MEDICAL ASSOCIATES, P. A.
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, P. A.
Other names
lourdes Medical Associates Hospitalist Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, P. A.
Authorized official
REGINALD BLABER M. D. (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3500
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 310-0592
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB06629000
NJ
2084N0400X
Neurology Physician
25MA07709400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
06/22/2010
Last updated
06/22/2010
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