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LOURDES MEDICAL ASSOCIATES P. A. NPI 1356642573


NPI Information

NPI: 1356642573
Provider Name: LOURDES MEDICAL ASSOCIATES, P. A.

Doing Business As: LOURDES MEDICAL ASSOCIATES-NEUROLOGY CONSULTANTS

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
63 KRESSON RD
SUITE 101
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 795-2000
Get Directions

LOURDES MEDICAL ASSOCIATES, P. A. is a neurology psychiatry neurology in Cherry Hill, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LOURDES MEDICAL ASSOCIATES, P. A. NPI is 1356642573. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lourdes Medical Associates-neurology Consultants.

The provider's business location address is:

63 KRESSON RD
SUITE 101
CHERRY HILL, NJ
ZIP 08034-200
Phone: (856) 795-2000
Fax: (856) 795-3625

The provider's authorized official is Steven Fox .
The authorized official title is President and has the following contact phone number (856) 796-9200.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 9/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology25MB02885700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16535704MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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