Organization
INTELLIHEALTH, INC.
Active
Other names
Mount Laurel Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS Y LEE M.D. (OWNER)
(856) 439-0060
Entity
Organization
Contact information
Practice address
4510 CHURCH RD, MOUNT LAUREL, NJ 08054-2210
(856) 439-0060
(856) 439-0061
Mailing address
4510 CHURCH RD, MOUNT LAUREL, NJ 08054-2210
(856) 439-0060
(856) 439-0061
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH0748
RAILROAD MEDICARE GROUP NUMBER
—
Enumeration date
07/06/2005
Last updated
05/10/2013
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