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
2475 MCCLELLAN AVE, SUITE B201, PENNSAUKEN, NJ 08109-4683
(856) 330-6300
(856) 330-6305
Mailing address
500 GROVE ST STE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA01990700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
03/06/2008
Last updated
09/07/2023
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