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NPI Profile for VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC in HAMMONTON, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1306993951 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/05/2007 | |
| Last updated | 04/05/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC