| Family Medicine Of Lindenwold Llc | |
|
409 E Gibbsboro Rd Lindenwold NJ 08021 | |
| (856) 309-0100 | |
| (856) 309-8827 |
| Full Name | Family Medicine Of Lindenwold Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 409 E Gibbsboro Rd, Lindenwold, New Jersey |
| Authorized Official Name and Position | David Louis Neidorf (OWNER) |
| Authorized Official Contact | 8563090100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Lindenwold Llc 409 E Gibbsboro Rd Lindenwold NJ 08021 Ph: (856) 309-0100 | Family Medicine Of Lindenwold Llc 409 E Gibbsboro Rd Lindenwold NJ 08021 Ph: (856) 309-0100 |
| NPI Number | 1679585178 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 12/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679585178 | NPI | - | NPPES |
| 0887404 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA04393800 (New Jersey) | Primary |
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