| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Church Street, Vernon, New Jersey |
| Authorized Official Name and Position | David J Shulkin (CEO) |
| Authorized Official Contact | 9739715450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2403 Voorhees NJ 08043-6403 Ph: (856) 782-3300 | 6 Church Street Vernon NJ 07462 Ph: (973) 764-5155 |
| NPI Number | 1558627943 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 04/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558627943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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