Organization · Type 2 NPI

Lourdes Medical Associates, PA

Vascular Surgery Physician · Camden, NJ

NPI number 1104096668 Active

Practice location

1601 Haddon Ave
Camden, NJ 08103-3109

Call (856) 757-3840 Map

Fax (856) 757-3519

Mailing address

500 Grove St, Suite 100
Haddon Heights, NJ 08035-1702

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	25MA06038700 (NJ)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

37 other providers at this address

Other vascular surgery physician providers in Camden

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NPI record

NPI: 1104096668
Entity type: Organization (Type 2)
Issued: Mar 11, 2008
Last updated: Jun 16, 2008
Status: Active
Subpart: Yes of Lourdes Medical Associates, PA

Other names

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Lma Center for Organ Transplantation · doing business as

Authorized official

Ms. Linda Rosenson
CFO
(856) 796-9200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104096668

Lourdes Medical Associates, PA's National Provider Identifier is 1104096668, issued on Mar 11, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Camden, NJ. The record was last updated on Jun 16, 2008.