Healthcare Provider Details

I. General information

NPI: 1366553414
Provider Name (Legal Business Name): JEWISH FEDERATION OF SOUTHERN NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SPRINGDALE RD SUITE #150
CHERRY HILL NJ
08003-2763
US

IV. Provider business mailing address

1301 SPRINGDALE RD SUITE #150
CHERRY HILL NJ
08003-2763
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-1333
  • Fax: 856-424-7384
Mailing address:
  • Phone: 856-424-1333
  • Fax: 856-424-7384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WEISS
Title or Position: ASSISTANT EXECUTIVE DIRECTOR
Credential: LSW
Phone: 856-424-1333