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Organization

TRABECULAR MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES F HABERKERN (CEO)
(856) 424-5005
Entity
Organization

Contact information

Practice address
2301 E EVESHAM RD STE 115, VOORHEES, NJ 08043-4509
(856) 424-5005
(856) 770-8271
Mailing address
2301 E EVESHAM RD STE 115, VOORHEES, NJ 08043-4509
(856) 424-5005
(856) 770-8271

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2781603
NJ
Enumeration date
05/13/2021
Last updated
05/13/2021
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