Organization
FAMILY MEDICINE OF LINDENWOLD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LOUIS NEIDORF MD (OWNER)
(856) 309-0100
Entity
Organization
Contact information
Practice address
409 E GIBBSBORO RD, LINDENWOLD, NJ 08021
(856) 309-0100
(856) 309-8827
Mailing address
409 E GIBBSBORO RD, LINDENWOLD, NJ 08021
(856) 309-0100
(856) 309-8827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04393800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0887404
—
NJ
Enumeration date
08/12/2006
Last updated
12/16/2009
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