Organization
ENDOCRINE ASSOCIATES OF SOUTH JERSEY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY EMILY POPILOCK (OFFICE MANAGER)
(856) 727-0900
Entity
Organization
Contact information
Practice address
703 E MAIN ST, MOORESTOWN, NJ 08057
(856) 727-0900
(856) 231-8428
Mailing address
703 E MAIN ST, MOORESTOWN, NJ 08057
(856) 727-0900
(856) 231-8428
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3450805
—
NJ
01
—
CN7115
RAILROAD MEDICARE
NJ
Enumeration date
02/01/2007
Last updated
02/01/2008
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