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Organization

LAUREL EVALUATIONS

Active
Other names
Laurel Orthopedic Evaluations
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH CHARLES PEACOCK M.D. (PRESIDENT)
(856) 235-7666
Entity
Organization

Contact information

Practice address
523 FELLOWSHIP RD, SUITE 275, MOUNT LAUREL, NJ 08054-3414
(856) 235-7666
(856) 222-0427
Mailing address
523 FELLOWSHIP RD, SUITE 275, MOUNT LAUREL, NJ 08054-3414
(856) 235-7666
(856) 222-0427

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
NJ

Other

Enumeration date
04/02/2007
Last updated
06/11/2008
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