Organization
SQUARE ONE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW KASPAR APN (NURSE PRACTITIONER/PARTNER)
(856) 938-8643
Entity
Organization
Contact information
Practice address
199 6TH AVE # B-2, MOUNT LAUREL, NJ 08054-9749
(856) 938-8642
Mailing address
6 TAISLEY CT, MEDFORD, NJ 08055-3207
(856) 938-8642
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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