Organization
LOURDES MEDICAL ASSOCIATES, PA
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, PA
Other names
Lourdes Medical Associates Willingboro Towne Center
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
200 CAMPBELL DR, SUITE 102, WILLINGBORO, NJ 08046-1067
(609) 877-4545
(609) 877-5129
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
03/06/2008
Last updated
05/19/2015
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