| Lourdes Medical Associates Woodbury Family Care | |
|
223 S Evergreen Ave Woodbury NJ 08096-2713 | |
| (856) 384-0400 | |
| (856) 384-7771 |
| Full Name | Lourdes Medical Associates Woodbury Family Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 223 S Evergreen Ave, Woodbury, New Jersey |
| Authorized Official Name and Position | Steven Fox (PRESIDENT) |
| Authorized Official Contact | 8567969200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Medical Associates Woodbury Family Care 500 Grove St Suite 100 Haddon Heights NJ 08035-1761 Ph: (856) 796-9200 | Lourdes Medical Associates Woodbury Family Care 223 S Evergreen Ave Woodbury NJ 08096-2713 Ph: (856) 384-0400 |
| NPI Number | 1790164101 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790164101 | NPI | - | NPPES |
| 6535704 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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