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 MD (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
1113 HOSPITAL DR, SUITE 203, WILLINGBORO, NJ 08046-1103
(609) 835-3624
(609) 835-3628
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 310-0592
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA02969000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
05/20/2011
Last updated
07/21/2022
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