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LOURDES MEDICAL ASSOCIATES PA NPI 1346644408


NPI Information

NPI: 1346644408
Provider Name: LOURDES MEDICAL ASSOCIATES, PA

Doing Business As: LOURDES MEDICAL ASSOCIATES SURGICAL SPECIALISTS

Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
120 WHITE HORSE PIKE
SUITE 103
HADDON HEIGHTS, NJ
ZIP 08035
Phone: (856) 546-3900
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LOURDES MEDICAL ASSOCIATES, PA is a colon rectal surgery in Haddon Heights, NJ. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. LOURDES MEDICAL ASSOCIATES, PA NPI is 1346644408. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lourdes Medical Associates Surgical Specialists.

The provider's business location address is:

120 WHITE HORSE PIKE
SUITE 103
HADDON HEIGHTS, NJ
ZIP 08035-938
Phone: (856) 546-3900
Fax: (856) 546-3908

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 10/20/2014 and was last updated on 10/20/2014.


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
1208C00000XColon & Rectal SurgeryYes

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
16535704MEDICAIDNEW JERSEY
2683572MEDICARE PINNEW 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: 5/5/2024

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