| Springdale Road Medical Associates | |
|
2428 Route 38 Suite 306 Cherry Hill NJ 08002-1241 | |
| (856) 348-8444 | |
| (856) 348-8446 |
| Full Name | Springdale Road Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 2428 Route 38, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Lawrence S Forman (PRESIDENT) |
| Authorized Official Contact | 8563488444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springdale Road Medical Associates 2428 Route 38 Suite 306 Cherry Hill NJ 08002-1241 Ph: (856) 348-8444 | Springdale Road Medical Associates 2428 Route 38 Suite 306 Cherry Hill NJ 08002-1241 Ph: (856) 348-8444 |
| NPI Number | 1174684781 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174684781 | NPI | - | NPPES |
| 5181101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB02310600 (New Jersey) | Primary |
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