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General NPI Number Information
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NPI Number | 1568441541
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Entity Type | Organization
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Legal Business Name | LOURDES MEDICAL ASSOCIATES PA
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 500 GROVE ST SUITE 100
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1702
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Country | US
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Telephone | 856-796-9200
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Fax | 856-310-5603
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Provider Business Mailing Address
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Address Line | 500 GROVE ST. SUITE 100
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035
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Country | US
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Telephone | 856-796-9200
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Fax | 856-310-0592
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN FOX
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Credential | MD
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Telephone | 856-796-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00146900
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License Number State | NJ
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Taxonomy #11
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MB06629000
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License Number State | NJ
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Taxonomy #12
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 25MA03203600
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License Number State | NJ
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Taxonomy #13
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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