NPI Provider: 1316943111
Contact Name: Venugopal Narasimhaloo
Position: President
Phone: (856) 696-0108
Vineland Medical Associates Pa Information:
Vineland Medical Associates Pa organization have npi 1316943111, taxonomy code is 207R00000X with license number is 25MA06727800 in . This Business address located in 1100 E Chestnut Ave, Vineland, NJ 83605 New Jersey.
Practice Location
Address: 1100 E Chestnut Ave, Vineland, NJ 83605
Phone: (856) 696-0108
Business Location
Address: 1100 E Chestnut Ave, Vineland, NJ 83605
Phone: (856) 696-0108
Fax: (856) 691-1106
Taxonomy
Taxonomy Code: 207R00000X
License Number: 25MA06727800
License Number of State: NJ
Primary Taxonomy Switch: Y
Enumeration Date: 6/27/2005
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