Organization
SOUTH JERSEY MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GEORGE INTELISANO D.O. (PRESIDENT)
(856) 228-0144
Entity
Organization
Contact information
Practice address
1504 BLACKWOOD CLEMENTON RD, BLACKWOOD, NJ 08012-4625
(856) 228-0144
(856) 232-0320
Mailing address
1504 BLACKWOOD CLEMENTON RD, BLACKWOOD, NJ 08012-4625
(856) 228-0144
(856) 232-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MB05610900
NJ
207RG0100X
Gastroenterology Physician
Primary
MB05610900
NJ
Other
Enumeration date
01/19/2007
Last updated
09/11/2025
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