| |
2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | |
(856) 665-2017 | |
(856) 488-6769 |
Full Name | |
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Type | Facility |
Speciality | Surgery |
Location | 2211 Chapel Avenue West, Cherry Hill, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225559495 | NPI | - | NPPES |
0411248 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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205 E Laurel Rd, Stratford, NJ 08084-1301 Ph: () - | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 Ph: (856) 665-2017 |