| NAME |
BURLINGTON COUNTY VA CLINIC |
| STATE |
NEW JERSEY |
| STREET ADDR. 1 |
3000 LINCOLN DRIVE, SUITE E |
| CITY |
MARLTON |
| ZIP |
08053-1500 |
| OFFICIAL VA NAME |
BURLINGTON COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MARLTON VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1750324406
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
642GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1750324406
-
- CODING SYSTEM: VASTANUM
- ID: 642GA
-
- CODING SYSTEM: CLIA
- ID: 31D1041270
|
