Organization
EMERGENCY PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J MURTAUGH (VICE PRESIDENT)
(856) 686-4317
Entity
Organization
Contact information
Practice address
730 N BROAD ST, WOODBURY, NJ 08096-1796
(856) 853-2001
(856) 853-2170
Mailing address
PO BOX 8826, LANCASTER, PA 17604-2739
(856) 686-4317
(856) 848-1431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074577000
AMERIHEALTH
NJ
05
—
2844605
—
NJ
01
—
48349
KEY MER
NJ
01
—
90000011100
AMERICHOICE
NJ
01
—
C30686
RAIL ROAD
NJ
Enumeration date
07/11/2006
Last updated
07/03/2008
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