Organization
LOURDES MEDICAL ASSOCIATES, P. A.
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, P. A.
Other names
Lourdes Medical Associates Cardiothoracic Surgical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, P. A.
Authorized official
STEVEN FOX M. D. (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
1 BRACE RD, SUITE C, CHERRY HILL, NJ 08034-2600
(856) 470-9029
(856) 428-4053
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
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA08956900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
12/09/2010
Last updated
09/07/2023
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