Peach Assistance Program
NPI #1477148252 in Mantua, New Jersey
Provider Information
- NPI Number
- 1477148252
- Entity Type
- Organization
- Organization Name
- Peach Assistance Program
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Mar 4, 2021
- Last Updated
- Mar 4, 2021
Practice Location
- Address
- 1172 TRISTRAM CIR
- City
- Mantua
- State
- New Jersey
- ZIP Code
- 08051-2205
- Phone
- (856) 822-0453
Authorized Official
- Name
- ALLISON G ALLEN FUNDENBERG, MEDICAL CONSULTANT
- Title
- PRESIDENT
- Phone
- (856) 822-0453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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