| NAME |
GLOUCESTER COUNTY VA CLINIC |
| STATE |
NEW JERSEY |
| STREET ADDR. 1 |
211 COUNTY HOUSE ROAD |
| CITY |
SEWELL |
| ZIP |
08080-2525 |
| OFFICIAL VA NAME |
GLOUCESTER COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SEWELL VA CLINIC |
| ST. ADDR. 1 (MAILING) |
211 COUNTY HOUSE ROAD |
| CITY (MAILING) |
SEWELL |
| STATE (MAILING) |
NEW JERSEY |
| ZIP (MAILING) |
08080-2525 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1669426086
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| STATION NUMBER |
642GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1669426086
-
- CODING SYSTEM: VASTANUM
- ID: 642GD
-
- CODING SYSTEM: CLIA
- ID: 31D1041271
|
