Provider Demographics
NPI:1275852014
Name:BURLINGTON COUNTY INTERNAL MEDICINE, LLC
Entity Type:Organization
Organization Name:BURLINGTON COUNTY INTERNAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:TORIGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-784-8078
Mailing Address - Street 1:314 SURREY RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1540
Mailing Address - Country:US
Mailing Address - Phone:609-784-8078
Mailing Address - Fax:856-482-1757
Practice Address - Street 1:1509 ROUTE 38
Practice Address - Street 2:SUITE 6
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2981
Practice Address - Country:US
Practice Address - Phone:609-784-8078
Practice Address - Fax:856-482-1757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty