Organization
VID TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET OCONNOR (PRESIDENT)
(215) 622-6496
Entity
Organization
Contact information
Practice address
510 DEPTFORD AVE, WESTVILLE, NJ 08093-2236
(267) 467-3080
Mailing address
591 MUHLENBERG AVE, WENONAH, NJ 08090-1348
(267) 467-3080
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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