Phoenix Associates LLC

NPI #1619255288 in Northfield, New Jersey

Provider Information

NPI Number: 1619255288
Entity Type: Organization
Organization Name: Phoenix Associates LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SCOTT HERNBERG
Primary Specialty: General Practice
Enumeration Date: Jul 29, 2011
Last Updated: Jul 29, 2011

Practice Location

Address: 1601 TILTON RD
Address 2: SUITE 4
City: Northfield
State: New Jersey
ZIP Code: 08225-1877
Phone: (609) 407-1119

Authorized Official

Name: DR. SCOTT ALAN HERNBERG, D.O.
Title: MEDICAL DIRECTOR
Phone: (609) 407-1119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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