Individual
ISABEL HILARY PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 MARNE HWY, STE 206, MOORESTOWN, NJ 08057-3126
(856) 234-6045
(856) 234-0498
Mailing address
500 GROVE ST, STE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04503100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070964000
AMERIHEALTH
NJ
01
—
100080946302
AMERICHOICE
NJ
01
—
1443064
CIGNA
NJ
05
—
3451402
—
NJ
01
—
60089867
HORIZON NJ HEALTH
NJ
01
—
8386519
AETNA
NJ
Enumeration date
01/23/2006
Last updated
07/01/2012
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