Organization
PJO HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTEOSBORNE OSBORNE FNP (CEO)
(856) 356-4799
Entity
Organization
Contact information
Practice address
1200 S CHURCH ST STE 3, MOUNT LAUREL, NJ 08054-2936
(856) 359-4799
(856) 249-9068
Mailing address
1200 S CHURCH ST STE 3, MOUNT LAUREL, NJ 08054-2936
(856) 359-4799
(856) 249-9068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691828
—
NJ
Enumeration date
04/26/2020
Last updated
08/22/2024
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