Organization
REGIONAL PRIMARY CARE AND ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAODAN YE (OWNER)
(856) 465-6384
Entity
Organization
Contact information
Practice address
62 HILLSIDE LN, MOUNT LAUREL, NJ 08054-4517
(856) 465-6384
Mailing address
62 HILLSIDE LN, MOUNT LAUREL, NJ 08054-4517
(856) 465-6384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07042600
NJ
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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