Organization
OUR LADY OF LOURDES MEDICAL CENTER
Active
Parent organization
OUR LADY OF LOURDES MEDICAL CENTER
Other names
OLOLMC Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES MEDICAL CENTER
Authorized official
ANDREW GUARNI (CFO)
(856) 824-3027
Entity
Organization
Contact information
Practice address
416 SICKLERVILLE RD, SICKLERVILLE, NJ 08081-2556
(856) 629-1273
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA05349300
NJ
Other
Enumeration date
04/17/2008
Last updated
03/30/2010
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