Individual
KATHLEEN M FERLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-6611
(609) 735-0175
Mailing address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-6611
(609) 735-0175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04014700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042100
—
NJ
Enumeration date
04/24/2007
Last updated
07/08/2007
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