Individual
DANA FODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
249 STATE RT 94, VERNON, NJ 07462-3327
(973) 827-4550
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(973) 827-4550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01282700
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01282700
NJ
Other
Enumeration date
03/10/2022
Last updated
11/04/2022
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