Organization
OPTIMO PHYSICIAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ANTHONY LIBBY M.D. (OWNER)
(609) 744-4555
Entity
Organization
Contact information
Practice address
438 GANTTOWN RD, SUITE B-1, SEWELL, NJ 08080-2341
(609) 744-4555
(856) 258-4557
Mailing address
438 GANTTOWN RD, SUITE B-1, SEWELL, NJ 08080-2341
(609) 744-4555
(856) 258-4557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05828000
NJ
Other
Enumeration date
04/23/2010
Last updated
07/23/2013
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