Organization
LOURDES MEDICAL ASSOCIATES, P. A.
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, PA
Other names
Lourdes Medical Associates-Neurology Consultants
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, PA
Authorized official
STEVEN FOX M.D. (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
63 KRESSON RD, SUITE 101, CHERRY HILL, NJ 08034-3200
(856) 795-2000
(856) 795-3625
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
2084N0400X
Neurology Physician
Primary
25MB02885700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
11/04/2010
Last updated
09/07/2023
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