Medford Surgical Practice

NPI #1821157371 in Hainesport, New Jersey

Provider Information

NPI Number: 1821157371
Entity Type: Organization
Organization Name: Medford Surgical Practice
Primary Specialty: Specialist
Enumeration Date: Dec 8, 2006
Last Updated: May 22, 2009

Practice Location

Address: 212 CREEK CROSSING BLVD
City: Hainesport
State: New Jersey
ZIP Code: 08036-2766
Phone: (609) 267-1004

Authorized Official

Name: TARA L KOWALEWSKI
Title: BILLING MANAGER
Phone: (856) 753-0913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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