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NPI Code Detail

MEDICARE: SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.

MEDICARE: SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1891222923
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
Provider Business Mailing Address
First Line : 1 EXECUTIVE DR STE 400
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4278
Country : US
Telephone Number : 609-567-0434
Fax Number : 609-704-5615
Provider Business Practice Location Address
First Line : 3003 ENGLISH CREEK AVE STE C6
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-4818
Country : US
Telephone Number : 609-481-3185
Fax Number : 609-569-0104
Authorized Official
Title or Position : PRESIDENT/CEO, INTERIM
Name : ESTHER WILLIAMS CARPENTER
Credential :
Telephone Number : 609-567-0434
Provider Enumeration Date : 05/19/2017
Last Update Date : 05/05/2026

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Directions to “SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC. ” Practice Location

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