UNDERWOOD-MEMORIAL HOSPITAL - NPI 1396819710 - Family Medicine in Glassboro, NJ

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Underwood-memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNDERWOOD-MEMORIAL HOSPITAL (NPI 1396819710) is a healthcare organization registered as a family medicine in Glassboro, New Jersey and active in the NPI registry since November 2006. The organization lists Edward Shields, Director Of Practice Management, as its authorized official.

NPPES Registry Identity

NPI1396819710

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUNDERWOOD-MEMORIAL HOSPITAL

Location Address1120 DELSEA DR NGlassboro, NJ 08028-1444

Mailing Address1120 Delsea Dr NGlassboro, NJ 08028-1444 · (856) 582-0500 · Fax (856) 582-0163

Phone(856) 582-0500

Fax(856) 582-0163

Organization SubpartNo

Authorized OfficialEdward ShieldsDirector Of Practice Management · (856) 845-0100

Enumeration DateNovember 17, 2006

Last NPPES UpdateApril 22, 2008

✔ NPI 1396819710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1120 DELSEA DR N, Glassboro, NJ 08028

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Other Identifiers 2

Medicare PIN700594NJ

Medicaid6987508NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAC X NGUYEN MD

Family Medicine