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231 Sciver Parkway Suite A Willingboro NJ 08046 | |
| (609) 871-7500 | |
| (609) 877-5555 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 231 Sciver Parkway, Willingboro, New Jersey |
| Authorized Official Name and Position | Steven Fox (PRESIDENT) |
| Authorized Official Contact | 8567969200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 Ph: (856) 796-9200 | 231 Sciver Parkway Suite A Willingboro NJ 08046 Ph: (609) 871-7500 |
| NPI Number | 1235482100 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235482100 | NPI | - | NPPES |
| 6535704 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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