| Autonomic Clinical Services | |
|
813 E Gate Dr Ste B Mount Laurel NJ 08054-1238 | |
| (856) 222-9916 | |
| Not Available |
| Full Name | Autonomic Clinical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 813 E Gate Dr Ste B, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Bruce a Naylor (PRESIDENT) |
| Authorized Official Contact | 8562229916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autonomic Clinical Services 813 E Gate Dr Ste B Mount Laurel NJ 08054-1238 | Autonomic Clinical Services 813 E Gate Dr Ste B Mount Laurel NJ 08054-1238 Ph: (856) 222-9916 |
| NPI Number | 1609070465 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609070465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05189200-NJ (New Jersey) | Primary |
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