Organization
MEDICAL ALLIANCE OF SOUTHERN NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C HUSTON JR. D.O. (PRESIDENT)
(856) 462-6250
Entity
Organization
Contact information
Practice address
1206 W SHERMAN AVE, BUILDING1, VINELAND, NJ 08360-6911
(856) 462-6250
(856) 462-6226
Mailing address
1206 W SHERMAN AVE, BUILDING1, VINELAND, NJ 08360-6911
(856) 462-6250
(856) 462-6226
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/28/2014
Last updated
11/05/2014
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