| Cherry Hill Family Practice, P.a. | |
|
401 Cooper Landing Rd Suite C-22 Cherry Hill NJ 08002-2517 | |
| (856) 779-7779 | |
| (856) 779-7790 |
| Full Name | Cherry Hill Family Practice, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Cooper Landing Rd, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Steven Michael Sirken (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8567797779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Hill Family Practice, P.a. 401 Cooper Landing Rd Suite C-22 Cherry Hill NJ 08002-2517 Ph: (856) 779-7779 | Cherry Hill Family Practice, P.a. 401 Cooper Landing Rd Suite C-22 Cherry Hill NJ 08002-2517 Ph: (856) 779-7779 |
| NPI Number | 1548358641 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548358641 | NPI | - | NPPES |
| 5226201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05550800 (New Jersey) | Primary |
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