Individual
MAMIE MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 CORLIES AVE, NEPTUNE, NJ 07753-4922
(929) 263-2677
Mailing address
1501 CORLIES AVE, NEPTUNE, NJ 07753-4922
(929) 263-2677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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