| South Jersey Neurocare Pa | |
|
520 Stokes Rd Suite A-4 Medford NJ 08055-2904 | |
| (609) 714-7774 | |
| (609) 714-7775 |
| Full Name | South Jersey Neurocare Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 520 Stokes Rd, Medford, New Jersey |
| Authorized Official Name and Position | David Charles Lee (PRESIDENT) |
| Authorized Official Contact | 6097147774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jersey Neurocare Pa 520 Stokes Rd Suite A-4 Medford NJ 08055-2904 Ph: (609) 714-7774 | South Jersey Neurocare Pa 520 Stokes Rd Suite A-4 Medford NJ 08055-2904 Ph: (609) 714-7774 |
| NPI Number | 1265416317 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265416317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 49817 (New Jersey) | Primary |
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