Provider Demographics
NPI:1578161535
Name:VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:856-355-0655
Mailing Address - Street 1:303 LIPPINCOTT DR FL 2
Mailing Address - Street 2:ATTN: LAUREN OCHS
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4160
Mailing Address - Country:US
Mailing Address - Phone:856-355-0860
Mailing Address - Fax:
Practice Address - Street 1:165 ROUTE 73
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9526
Practice Address - Country:US
Practice Address - Phone:856-355-0860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRTUA HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing