Organization
SOUTH JERSEY UROGYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDY B NOSSEIR M.D. (OWNER/FOUNDER)
(856) 607-2273
Entity
Organization
Contact information
Practice address
127 CHURCH RD, SUITE 600, MARLTON, NJ 08053-9402
(856) 607-2273
Mailing address
127 CHURCH RD, SUITE 600, MARLTON, NJ 08053-9402
(856) 607-2273
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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