Healthcare Provider Details
I. General information
NPI: 1518732932
Provider Name (Legal Business Name): ABORTION AND REPRODUCTIVE HEALTHCARE OF NEW JERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 KINGS HWY N STE 100
CHERRY HILL NJ
08034-1502
US
IV. Provider business mailing address
601 CHAPEL AVE E
CHERRY HILL NJ
08034-1454
US
V. Phone/Fax
- Phone: 856-356-4000
- Fax:
- Phone: 856-356-4001
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
PERRIERA
Title or Position: OWNER
Credential: MD
Phone: 856-356-4001