Individual
JOSMELY RAQUEL URENA MONTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(856) 805-1000
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10568100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2016
Last updated
04/12/2022
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