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Organization

OUR LADY OF LOURDES MEDICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW GUARNI CPA (CFO)
(856) 824-3131
Entity
Organization

Contact information

Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3776
Mailing address
100 FRONT STREET, RIVERSIDE, NJ 08075
(856) 824-3460

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
10404
NJ

Other

Enumeration date
08/24/2005
Last updated
01/05/2018
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