Lourdes Medical Associates, PA
NPI #1912344961 in Moorestown, New Jersey
Provider Information
- NPI Number
- 1912344961
- 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
- May 31, 2013
- Last Updated
- May 31, 2013
Practice Location
- Address
- 728 MARNE HWY
- Address 2
- SUITE 100 B
- City
- Moorestown
- State
- New Jersey
- ZIP Code
- 08057-3128
- Phone
- (856) 235-6600
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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