Individual
PATRICIA MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6010 BLACK HORSE PIKE, EGG HARBOR TWP, NJ 08234-9752
(609) 272-8580
Mailing address
PO BOX 1086, PLEASANTVILLE, NJ 08232-6086
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00030700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052175
—
NJ
Enumeration date
07/06/2006
Last updated
03/24/2008
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