Individual
DR. DAVID L NEIDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 E GIBBSBORO RD FRNT, LINDENWOLD, NJ 08021-1907
(856) 309-0100
(856) 309-8827
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04393800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0887404
—
NJ
Enumeration date
07/26/2006
Last updated
11/02/2020
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