Provider Demographics
NPI:1235672866
Name:SPECIALTY CARE AT WASHINGTON TOWNSHIP
Entity Type:Organization
Organization Name:SPECIALTY CARE AT WASHINGTON TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:VENUTI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-875-8000
Mailing Address - Street 1:188 FRIES MILL RD
Mailing Address - Street 2:SUITE N-3
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2015
Mailing Address - Country:US
Mailing Address - Phone:856-875-8000
Mailing Address - Fax:856-629-1460
Practice Address - Street 1:188 FRIES MILL RD
Practice Address - Street 2:BUILDING J
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2015
Practice Address - Country:US
Practice Address - Phone:856-740-2300
Practice Address - Fax:856-629-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty