Healthcare Provider Details

I. General information

NPI: 1225301120
Provider Name (Legal Business Name): TRI-COUNTY HEALTH CONNECTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2012
Last Update Date: 07/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N WOODBURY RD
PITMAN NJ
08071-1261
US

IV. Provider business mailing address

402 LIPPINCOTT DR
MARLTON NJ
08053-4112
US

V. Phone/Fax

Practice location:
  • Phone: 856-589-1212
  • Fax: 856-589-6635
Mailing address:
  • Phone: 856-782-3300
  • Fax: 856-504-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCIS T FERRY
Title or Position: DIRECTOR
Credential:
Phone: 856-845-0100