Organization
UNDERWOOD-MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD SHIELDS (DIRECTOR OOF PRACTICE MANAGEMENT)
(856) 845-0100
Entity
Organization
Contact information
Practice address
1 W BROAD ST, PAULSBORO, NJ 08066-1527
(856) 423-0033
(856) 423-4444
Mailing address
1120 DELSEA DR N, GLASSBORO, NJ 08028-1444
(856) 423-0033
(856) 423-4444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7183411
—
NJ
Enumeration date
01/08/2007
Last updated
04/22/2008
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