Organization
LOURDES MEDICAL ASSOCIATES, P.A.
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, P.A.
Other names
Lourdes Medical Associates Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, P.A.
Authorized official
DR. STEVEN FOX M.D. (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
1113 HOSPITAL DR, SUITE 100, WILLINGBORO, NJ 08046-1103
(609) 835-5821
(609) 835-5827
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
208600000X
Surgery Physician
Primary
25MB06369000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
10/18/2011
Last updated
09/07/2023
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