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DELAWARE VALLEY MEDICAL INC. NPI 1700909629


NPI Information

NPI: 1700909629
Provider Name: DELAWARE VALLEY MEDICAL, INC.

Other Name: DELAWARE VALLEY MEDICAL, INC. BLACKWOOD CLINIC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
300 WOODBURY TURNERSVILLE RD
BLACKWOOD, NJ
ZIP 08012
Phone: (856) 227-5254
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DELAWARE VALLEY MEDICAL, INC. is a methadone clinic center in Blackwood, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. DELAWARE VALLEY MEDICAL, INC. NPI is 1700909629. The provider is registered as an organization entity type.
The provider Other Name Is Delaware Valley Medical, Inc. Blackwood Clinic.

The provider's business location address is:

300 WOODBURY TURNERSVILLE RD
BLACKWOOD, NJ
ZIP 08012-860
Phone: (856) 227-5254
Fax: (856) 665-5212

The provider's authorized official is Linda Voorhis .
The authorized official title is Chief Executive Director and has the following contact phone number (856) 665-5100.

The enumeration date for this NPI number is 4/7/2007 and was last updated on 8/22/2020.


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
1261QM2800XClinic/CenterMethadone20000238-07NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1APPLIED FORMEDICAIDNEW 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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