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NPI Code Detail

MEDICARE: BURLINGTON COUNTY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES P A

MEDICARE: BURLINGTON COUNTY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES P A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1134115074
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURLINGTON COUNTY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES P A
Provider Business Mailing Address
First Line : 1000 SALEM RD
Second Line : SUITE B
City : WILLINGBORO
State : NJ
Zip : 08046-2852
Country : US
Telephone Number : 609-871-2060
Fax Number : 609-871-3535
Provider Business Practice Location Address
First Line : 1000 SALEM RD
Second Line : SUITE B
City : WILLINGBORO
State : NJ
Zip : 08046-2852
Country : US
Telephone Number : 609-871-2060
Fax Number : 609-871-3535
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL D HORN
Credential : M.D.
Telephone Number : 609-871-2060
Provider Enumeration Date : 09/26/2005
Last Update Date : 05/15/2008

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Directions to “BURLINGTON COUNTY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES P A ” Practice Location

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