Organization
PHOENIX HOUSECALL ASSOCIATES OF SOUTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS YON LEE M.D. (OWNER)
(856) 439-0060
Entity
Organization
Contact information
Practice address
4510 CHURCH RD, MOUNT LAUREL, NJ 08054-2210
(856) 439-0060
(856) 452-0344
Mailing address
4510 CHURCH RD, MOUNT LAUREL, NJ 08054-2210
(856) 439-0060
(856) 452-0344
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
25MA07756900
NJ
Other
Enumeration date
05/10/2013
Last updated
10/24/2014
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