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Organization

ASSOCIATED PHYSIATRISTS OF SOUTHERN NEW JERSEY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD J GALLAGHER M.D. (PRESIDENT)
(856) 833-1790
Entity
Organization

Contact information

Practice address
216 HADDON AVE STE 106, HADDON TOWNSHIP, NJ 08108-2810
(856) 833-1790
(856) 833-1793
Mailing address
216 HADDON AVE STE 106, HADDON TOWNSHIP, NJ 08108-2810
(856) 833-1790
(856) 833-1793

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0075563000
AMERIHEALTH / KEYSTONE
NJ
01
062887
AMERIHEALTH ADMINISTRATOR
NJ
01
1018429
HORIZON NJ HEALTH
NJ
01
114311500
US DEPT OF LABOR
NJ
01
30056
AETNA
NJ
05
3122301
NJ
01
90000080900
AMERICHOICE
NJ
01
CE2009
RAILROAD MEDICARE
NJ
01
J814
AMERIGROUP
NJ
Enumeration date
06/07/2006
Last updated
07/21/2025
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