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Organization

LOURDES MEDICAL ASSOCIATES, PA

Active
Parent organization
LOURDES MEDICAL ASSOCIATES, PA
Other names
Lourdes Medical Associates Social Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, PA
Authorized official
DR. STEVEN FOX MD (PRESIDENT)
(856) 796-9200
Entity
Organization

Contact information

Practice address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 229-2216
(856) 796-9397
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6535704
NJ
Enumeration date
07/03/2013
Last updated
07/03/2013
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