National Provider Identifier Database

VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC
Gerontology


Contact Information

VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC
640 N WHITE HORSE PIKE
HAMMONTON, NJ08037
Phone: 609-567-9003
Fax: 858-373-2478
Website:
Specialty Taxonomy Code
* Gerontology 363LG0600X

* Indicates primary specialty

NPI Profile & details for VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC

NPI Number 1306993951
Legal business name
LBN
VISITING PHYSICIAN ASSOCIATES OF SOUTH JERSEY LLC
Authorized official LORI REAVES - (DOCTOR & CEO)
Entity Organization
Organization subpart No
Enumeration date 01/05/2007
Last updated 04/05/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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