PROFESSIONAL SERVICE FUND OF DEBORAH HEART & LUNG CENTER NPI 1407803596

NPI Information

PROFESSIONAL SERVICE FUND OF DEBORAH HEART & LUNG CENTER is a specialist in Browns Mills, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PROFESSIONAL SERVICE FUND OF DEBORAH HEART & LUNG CENTER NPI is 1407803596. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Professional Service Fund Of Deborah.

The provider's business location address is:

200 TRENTON RD
BROWNS MILLS, NJ
ZIP 08015-705
Phone: (609) 893-1200
Fax: (609) 735-0175

The provider's authorized official is Joseph Chirichella .
The authorized official title is Chief Executive Officer and has the following contact phone number (609) 893-1200.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 4/3/2012.

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:

Other Identifiers

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

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