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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
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