Lourdes Medical Associates PA
NPI #1063850626 in Willingboro, New Jersey
Provider Information
- NPI Number
- 1063850626
- Entity Type
- Organization
- Organization Name
- Lourdes Medical Associates PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 5, 2013
- Last Updated
- Jun 5, 2015
Practice Location
- Address
- 200 CAMPBELL DR
- Address 2
- SUITE 102
- City
- Willingboro
- State
- New Jersey
- ZIP Code
- 08046-1067
- Phone
- (609) 877-4545
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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