Provider Demographics
NPI:1598037954
Name:SOUTH JERSEY HEALTHCARE
Entity Type:Organization
Organization Name:SOUTH JERSEY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FRANCESCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:PT,CLT
Authorized Official - Phone:856-641-7873
Mailing Address - Street 1:201 TOMLIN STATION PARK, SUITE D
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062
Mailing Address - Country:US
Mailing Address - Phone:856-241-2533
Mailing Address - Fax:
Practice Address - Street 1:201 TOMLIN STATION ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-1612
Practice Address - Country:US
Practice Address - Phone:856-241-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01039300261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy