LOURDES MEDICAL ASSOCIATES PA NPI 1104096668

NPI Information

NPI: 1104096668
Provider Name: LOURDES MEDICAL ASSOCIATES, PA

Doing Business As: LMA CENTER FOR ORGAN TRANSPLANTATION

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1601 HADDON AVE
CAMDEN, NJ
ZIP 08103
Phone: (856) 757-3840
Get Directions

LOURDES MEDICAL ASSOCIATES, PA is a vascular surgery surgery in Camden, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LOURDES MEDICAL ASSOCIATES, PA NPI is 1104096668. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lma Center For Organ Transplantation.

The provider's business location address is:

1601 HADDON AVE
CAMDEN, NJ
ZIP 08103-109
Phone: (856) 757-3840
Fax: (856) 757-3519

The provider's authorized official is Linda Rosenson .
The authorized official title is Cfo and has the following contact phone number (856) 796-9200.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 6/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	25MA06038700	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6535704	MEDICAID	NEW 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

NPI Synchronization or Removal

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