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Organization
FODA FAMILY PRACTICE LLC
Active
Organization
FODA FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDA B FODA MD (PHYSCIAN)
(856) 985-9100
Entity
Organization
Contact information
Practice address
1939 MARLTON PIKE E STE 250, CHERRY HILL, NJ 08003-4507
(856) 985-9106
(609) 228-7604
Mailing address
1939 MARLTON PIKE E STE 250, CHERRY HILL, NJ 08003-4507
(856) 985-9106
(609) 228-7604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07595300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023442
—
NJ
Enumeration date
05/16/2007
Last updated
06/07/2023
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