Organization · Type 2 NPI
Origin LLC
Multi-Specialty Clinic/Center · Willingboro, NJ
NPI number
1124691647
Active
Practice location
14 Gallaway Ln
Willingboro, NJ 08046-3226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
About NPI 1124691647
Origin LLC's National Provider Identifier is 1124691647, issued on Jul 22, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Willingboro, NJ. The record was last updated on Jul 22, 2021.