Autonomic Clinical Services | |
813 E Gate Dr Ste B Mount Laurel NJ 08054-1238 | |
(856) 222-9916 | |
Not Available |
Full Name | Autonomic Clinical Services |
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Speciality | Family Medicine |
Location | 813 E Gate Dr Ste B, Mount Laurel, New Jersey |
Authorized Official Name and Position | Bruce A Naylor (PRESIDENT) |
Authorized Official Contact | 8562229916 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Autonomic Clinical Services 813 E Gate Dr Ste B Mount Laurel NJ 08054-1238 Ph: () - | Autonomic Clinical Services 813 E Gate Dr Ste B Mount Laurel NJ 08054-1238 Ph: (856) 222-9916 |
NPI Number | 1609070465 |
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Provider Enumeration Date | 06/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1609070465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB05189200-NJ (New Jersey) | Primary |
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