Organization Name: | LOURDES MEDICAL ASSOCIATES, P. A. |
NPI Number: | 1528292919 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS IPPOLITE (DIR. OF REVENUE MGMNT.) |
Mailing Address: | 740 Marne Hwy Suite 206 Moorestown |
State: | NJ US |
Postal Code: | 080573126 |
Phone Number: | 8562340645 |
Fax Number: | 8562340498 |
NPI Enumeration Date: | 05/13/2009 |
NPI Last Update Date: | 05/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25MA07540600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |