Organization
SOUTH JERSEY HEALTHCARE OCCUPATIONAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE MAE CERVINI APN-C (NURSE PRACTITIONER)
(856) 507-8548
Entity
Organization
Contact information
Practice address
1038 E CHESTNUT AVE, SUITE 120, VINELAND, NJ 08360-5800
(856) 507-8548
(856) 507-2709
Mailing address
1038 E CHESTNUT AVE, SUITE 120, VINELAND, NJ 08360-5800
(856) 507-8548
(856) 507-2709
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
26NJ00272600
NJ
261QX0100X
Occupational Medicine Clinic/Center
Primary
26NJ00272600
NJ
Other
Enumeration date
08/26/2010
Last updated
01/19/2012
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