Organization Name: | SOUTH JERSEY HOSPITAL, INC. |
NPI Number: | 1609158732 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN ALBERT DIANGELO (SR. VICE PRESIDENT FINANCE & CFO) |
Mailing Address: | 201 Tomlin Station Road Suite D Mullica Hill |
State: | NJ US |
Postal Code: | 08062 |
Phone Number: | 8564238633 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2011 |
NPI Last Update Date: | 09/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | NOT APPLICABLE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |