Physician Credentialing

Welcome to the Physician credentialing section. Please download and complete the PDF file below. If you do not have a PDF reader, you can download one for free at the Adobe website.

The completed credentialing packet can be scanned and submitted using the form below.

Physician Credentialing Packet Upload

Physician Name

Email

Daytime Phone (optional)

Attach Completed Application (PDF)

Credentialing packets can also be emailed to credentialing.lourdes@acuityhealthcarenj.com or mailed to:

Lourdes Specialty Hospital - Physician Credentialing
218 Sunset Road
Willingboro, NJ
08046-1110