Organization
VITAS HEALTH SERVICES OF NEW JERSEY, P.A.
Active
Other names
Palliative Medical Associates of New Jersey
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS (CREDENTIALING ANALYST)
(513) 618-2243
Entity
Organization
Contact information
Practice address
521 FELLOWSHIP RD, MOUNT LAUREL, NJ 08054-3413
(856) 914-2865
Mailing address
5430 NW 33RD AVE STE 106, FORT LAUDERDALE, FL 33309-6349
(215) 283-6773
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
02/06/2019
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