Organization
EDWARD L. LUNDY, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L. LUNDY D.O. (OWNER)
(856) 456-1042
Entity
Organization
Contact information
Practice address
1017 MARKET ST, GLOUCESTER CITY, NJ 08030-1847
(856) 456-1042
(856) 546-4896
Mailing address
1017 MARKET ST, GLOUCESTER CITY, NJ 08030-1847
(856) 456-1042
(856) 456-8830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB35070
NJ
363LF0000X
Family Nurse Practitioner
26NJ00143400
NJ
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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