NPI 1396819710

Underwood-Memorial Hospital

Organisation Family Medicine Physician Glassboro, NJ

Practice location

Address: 1120 Delsea Dr N, Glassboro, NJ 08028-1444
Phone: (856) 582-0500
Fax: (856) 582-0163

Authorised official

Name: Edward Shields
Title: Director of Practice Management
Phone: (856) 845-0100

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in New Jersey →

Registry record

NPI: 1396819710
Entity type: Organization
NPI issued: 17 Nov 2006
Record last updated: 22 Apr 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.