| Lourdes Medical Associates, Pa | |
|
101 Barclay Pavilion W Cherry Hill NJ 08034-2139 | |
| (856) 429-4179 | |
| (856) 429-3794 |
| Full Name | Lourdes Medical Associates, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Barclay Pavilion W, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Steven Fox (PRESIDENT) |
| Authorized Official Contact | 8567969200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Medical Associates, Pa 500 Grove St Ste 100 Haddon Heights NJ 08035-1761 Ph: (856) 796-9200 | Lourdes Medical Associates, Pa 101 Barclay Pavilion W Cherry Hill NJ 08034-2139 Ph: (856) 429-4179 |
| NPI Number | 1316117294 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316117294 | NPI | - | NPPES |
| 6535704 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB07810300 (New Jersey) | Primary |
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