Organization
LOURDES MEDICAL ASSOCIATES, PA
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, PA
Authorized official
DR. STEVEN FOX M.D. (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
728 MARNE HWY STE 100B, MOORESTOWN, NJ 08057-3128
(856) 235-6600
(856) 235-6610
Mailing address
500 GROVE ST STE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB04640900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
10/13/2011
Last updated
09/07/2023
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