| Advpcare Neurology Of South Jersey | |
|
693 Main St Ste D Amherst Commons Lumberton NJ 08048-5043 | |
| (609) 261-7600 | |
| (609) 265-8205 |
| Full Name | Advpcare Neurology Of South Jersey |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 693 Main St Ste D, Lumberton, New Jersey |
| Authorized Official Name and Position | John M. Tedeschi (CEO/ CHAIRMAN) |
| Authorized Official Contact | 8567823300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advpcare Neurology Of South Jersey Po Box 3001 Voorhees NJ 08043-0598 Ph: (856) 782-3300 | Advpcare Neurology Of South Jersey 693 Main St Ste D Amherst Commons Lumberton NJ 08048-5043 Ph: (609) 261-7600 |
| NPI Number | 1417189531 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417189531 | NPI | - | NPPES |
| 0214752 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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