| Saint Luke's Catholic Medical Services | |
|
511 State St Camden NJ 08102-1918 | |
| (856) 365-4642 | |
| (856) 365-0539 |
| Full Name | Saint Luke's Catholic Medical Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 511 State St, Camden, New Jersey |
| Authorized Official Name and Position | Martin Idler (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8563424131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Luke's Catholic Medical Services 511 State St Camden NJ 08102-1918 Ph: (856) 365-4642 | Saint Luke's Catholic Medical Services 511 State St Camden NJ 08102-1918 Ph: (856) 365-4642 |
| NPI Number | 1255535910 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 06/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255535910 | NPI | - | NPPES |
| 10681 | Other | NJ | AETNA |
| 0865285001 | Other | NJ | AMERIHEALTH |
| 8442002 | Medicaid | NJ | |
| DD5461 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB064729 (New Jersey) | Primary |
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