Organization
PLOVER INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
1945 CORLIES AVE, ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4203
Mailing address
PO BOX 38024, PHILADELPHIA, PA 19101-0706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
10/18/2023
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