NPI 1053583310

Integrated Health Medical System PC

Organisation General Practice Physician Cherry Hill, NJ

Practice location

Address: 1930 Route 70 E Suite I 48, Cherry Hill, NJ 08003-2150
Phone: (856) 489-0505
Fax: (856) 489-0435

Authorised official

Name: Molly Fantasia
Title: Registared Agent
Phone: (856) 489-0505

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1053583310
Entity type: Organization
NPI issued: 27 Mar 2008
Record last updated: 27 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.