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499 Beckett Rd Logan Township NJ 08085-1766 | |
(856) 241-2090 | |
(856) 241-2099 |
Full Name | |
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Speciality | Family Medicine |
Location | 499 Beckett Rd, Logan Township, New Jersey |
Authorized Official Name and Position | Gary D Newsome (PRESIDENT) |
Authorized Official Contact | 6163739600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 504290 Saint Louis MO 63150-0001 Ph: (856) 241-2090 | 499 Beckett Rd Logan Township NJ 08085-1766 Ph: (856) 241-2090 |
NPI Number | 1285742197 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1285742197 | NPI | - | NPPES |