Organization
VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY, LLC
Active
Organization
VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MA'SHEIL LATHAM (OFFICE MANAGER)
(609) 567-9003
Entity
Organization
Contact information
Practice address
640 WHITE HORSE PIKE, HAMMONTON, NJ 08037-9602
(609) 567-9003
(858) 373-2480
Mailing address
640 NORTH WHITE HORSE PIKE, HAMMONTON, NJ 08037-9602
(609) 567-9003
(858) 373-2480
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00352500
NJ
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
Update your record
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