Healthcare Provider Details

I. General information

NPI: 1588699581
Provider Name (Legal Business Name): EMERGENCY PHYSICIAN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 N BROAD ST
WOODBURY NJ
08096-1796
US

IV. Provider business mailing address

PO BOX 8826
LANCASTER PA
17604-2739
US

V. Phone/Fax

Practice location:
  • Phone: 856-853-2001
  • Fax: 856-853-2170
Mailing address:
  • Phone: 856-686-4317
  • Fax: 856-848-1431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN J MURTAUGH
Title or Position: VICE PRESIDENT
Credential:
Phone: 856-686-4317