Healthcare Provider Details

I. General information

NPI: 1336284967
Provider Name (Legal Business Name): CAMDEN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PARKVIEW TERRACE 700 W. BROWNING ROAD, SUITE 11
W. COLLINGSWOOD NJ
08107
US

IV. Provider business mailing address

PARKVIEW TERRACE 700 W. BROWNING ROAD, SUITE 11
W. COLLINGSWOOD NJ
08107
US

V. Phone/Fax

Practice location:
  • Phone: 856-858-3220
  • Fax: 856-858-2057
Mailing address:
  • Phone: 856-858-3220
  • Fax: 856-858-2057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JOY MERULLA
Title or Position: DIRECTOR
Credential:
Phone: 856-858-3317