Organization
LOURDES MEDICAL ASSOCIATES, PA
Active
Parent organization
LOURDES MEDICAL ASSOCAITES, PA
Other names
Lourdes Medical Associates Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCAITES, PA
Authorized official
DR. STEVEN FOX MD (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
120 WHITE HORSE PIKE, SUITE 103, HADDON HEIGHTS, NJ 08035-1938
(856) 546-3900
(856) 546-3908
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
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
10/20/2014
Last updated
10/20/2014
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