| Infectious Disease Consultants Of South Jersey Llc | |
|
200 Trenton Rd Browns Mills NJ 08015-1705 | |
| (609) 677-1046 | |
| (609) 677-1306 |
| Full Name | Infectious Disease Consultants Of South Jersey Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 200 Trenton Rd, Browns Mills, New Jersey |
| Authorized Official Name and Position | Lynn Carpenter (OFFICE MANAGER) |
| Authorized Official Contact | 6096771046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Of South Jersey Llc Po Box 1283 Medford NJ 08055-6283 Ph: (609) 677-1046 | Infectious Disease Consultants Of South Jersey Llc 200 Trenton Rd Browns Mills NJ 08015-1705 Ph: (609) 677-1046 |
| NPI Number | 1639448806 |
|---|---|
| Provider Enumeration Date | 12/18/2011 |
| Last Update Date | 12/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639448806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA02594500 (New Jersey) | Primary |
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