Organization
1417 MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES STOKES (CEO)
(561) 318-4455
Entity
Organization
Contact information
Practice address
1417 BRACE RD, CHERRY HILL, NJ 08034-3524
(561) 318-4409
Mailing address
2328 10TH AVE N STE 302, LAKE WORTH, FL 33461-6612
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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