Sicklerville Internal Medicine

NPI #1821045428 in Laurel Springs, New Jersey

Provider Information

NPI Number: 1821045428
Entity Type: Organization
Organization Name: Sicklerville Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: May 28, 2006
Last Updated: Nov 13, 2007

Practice Location

Address: 1405 CHEWS LANDING RD
Address 2: STE. 14
City: Laurel Springs
State: New Jersey
ZIP Code: 08021-2769
Phone: (856) 227-6575

Authorized Official

Name: MS. JOAN WENSAUER, BA
Title: CREDENTIALING CONSULTANT
Phone: (856) 782-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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