Organization
EXCELSIA NJ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WALL J.D. (CHIEF LEGAL OFFICER)
(412) 496-9559
Entity
Organization
Contact information
Practice address
1937 BERLIN RD, CHERRY HILL, NJ 08003-3737
(856) 616-0610
Mailing address
9601 PULASKI PARK DR STE 417, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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