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701 E Main St Ste 7 Moorestown NJ 08057-3032 | |
| (856) 772-7088 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 E Main St Ste 7, Moorestown, New Jersey |
| Authorized Official Name and Position | Charles Mcqueary (COO) |
| Authorized Official Contact | 8568727052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
401 Route 73 N Ste 320 Marlton NJ 08053-3426 Ph: (856) 334-6293 | 701 E Main St Ste 7 Moorestown NJ 08057-3032 Ph: (856) 772-7088 |
| NPI Number | 1992313746 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992313746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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