Organization
INFECTIOUS DISEASE CONSULTANTS OF SOUTH JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CARPENTER RN (OFFICE MANAGER)
(609) 677-1046
Entity
Organization
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 677-1046
(609) 677-1306
Mailing address
PO BOX 1283, MEDFORD, NJ 08055-6283
(609) 677-1046
(609) 677-1306
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA02594500
NJ
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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