Organization
IMPACTFUL CARE
Active
Organization
IMPACTFUL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIPLEE TELETE BELL PA-C (CEO)
(856) 581-3209
Entity
Organization
Contact information
Practice address
923 HADDONFIELD RD STE 300, CHERRY HILL, NJ 08002-2752
(856) 581-3209
(856) 483-8035
Mailing address
923 HADDONFIELD RD STE 300, CHERRY HILL, NJ 08002-2752
(856) 581-3209
(856) 483-8035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342572
—
NJ
Enumeration date
06/07/2022
Last updated
06/17/2022
Update your record
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