Organization · Type 2 NPI
Philadelphia Va Medical Center
VA Clinic/Center · Fort Dix, NJ
NPI number
1114128832
Active
Practice location
8th And Alabama St, Building 5437
Fort Dix, NJ 08640
Mailing address
834 Chestnut St, Appartment 732
Philadelphia, PA 19107-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | 25MB08244700 (NJ) |
VA Clinic/Center: Definition to come...
About NPI 1114128832
Philadelphia Va Medical Center's National Provider Identifier is 1114128832, issued on May 30, 2007. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Fort Dix, NJ. The record was last updated on Aug 22, 2020.