Organization
SURGICAL GROUP OF SOUTH JERSEY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIOSCORO T. VILLANUEVA M.D. (PRESIDENT)
(856) 428-7700
Entity
Organization
Contact information
Practice address
1935 ROUTE 70 E, CHERRY HILL, NJ 08003-2117
(856) 428-7700
(856) 424-9120
Mailing address
1935 ROUTE 70 E, CHERRY HILL, NJ 08003-2117
(856) 428-7700
(856) 424-9120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2625105
—
NJ
Enumeration date
05/05/2006
Last updated
07/13/2007
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