Healthcare Provider Details

I. General information

NPI: 1568868602
Provider Name (Legal Business Name): INSPIRA MEDICAL CENTER WOODBURY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N BROAD ST
WOODBURY NJ
08096-1617
US

IV. Provider business mailing address

509 N BROAD ST
WOODBURY NJ
08096-1617
US

V. Phone/Fax

Practice location:
  • Phone: 856-853-2084
  • Fax:
Mailing address:
  • Phone: 856-853-2084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES THOMAS O'CONNELL
Title or Position: DIRECTOR REVENUE CYCLE
Credential: CPA
Phone: 856-575-4777