Organization Name: | RACCOON VALLEY ANIMAL HOSPITAL |
NPI Number: | 1275793879 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILMA ABBOTT (HOSPITAL MANAGER) |
Mailing Address: | 301 Bridgeton Pike Mullica Hill |
State: | NJ US |
Postal Code: | 080623711 |
Phone Number: | 8564786500 |
Fax Number: | 8564784417 |
NPI Enumeration Date: | 06/17/2008 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 29VI00219000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |