Organization
PROFESSIONAL SERVICE FUND OF DEBORAH HEART & LUNG CENTER
Active
Other names
Professional Service Fund of Deborah
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CHIRICHELLA (CHIEF EXECUTIVE OFFICER)
(609) 893-1200
Entity
Organization
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-1200
(609) 735-0175
Mailing address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-1200
(609) 735-0175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3500306
—
NJ
Enumeration date
05/27/2006
Last updated
04/03/2012
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