Organization
LOURDES SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEWIS (CREDENTIALING SPECIALIST)
(856) 796-9356
Entity
Organization
Contact information
Practice address
120 WHITE HORSE PIKE, SUITE 103, HADDON HEIGHTS, NJ 08035-1938
(856) 546-3900
Mailing address
120 WHITE HORSE PIKE, SUITE 103, HADDON HEIGHTS, NJ 08035-1938
(856) 546-3900
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
26NNO8583700
NJ
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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