Healthcare Provider Details

I. General information

NPI: 1124660501
Provider Name (Legal Business Name): TRI-COUNTY HEALTH CONNECTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 DELSEA DR N
GLASSBORO NJ
08028-1444
US

IV. Provider business mailing address

1120 DELSEA DR N
GLASSBORO NJ
08028-1444
US

V. Phone/Fax

Practice location:
  • Phone: 856-205-7071
  • Fax:
Mailing address:
  • Phone: 856-205-7071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN SAFFIOTI
Title or Position: SYSTEM VP, AMBULATORY SERVICES
Credential:
Phone: 856-205-4101