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LOURDES MEDICAL ASSOCIATES PA NPI 1801066402


NPI Information

NPI: 1801066402
Provider Name: LOURDES MEDICAL ASSOCIATES, PA

Doing Business As: OSBORN FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D1091061

Address:
1601 HADDON AVE
CAMDEN, NJ
ZIP 08103
Phone: (856) 757-3700
Get Directions

LOURDES MEDICAL ASSOCIATES, PA is a family medicine in Camden, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOURDES MEDICAL ASSOCIATES, PA NPI is 1801066402. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Osborn Family Medicine.

The provider's business location address is:

1601 HADDON AVE
CAMDEN, NJ
ZIP 08103-109
Phone: (856) 757-3700
Fax: (856) 310-5603

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 CLIA number assigned to this NPI record is 31D1091061 - federally qualified health center with a certificate type of Certificate of Waiver.

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25MB07677000NEW 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
1683572MEDICARE PIN

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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