Individual
REBAKAH SUMALINI ABEL BOENERJOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 WOODSTOWN RD, SUITE B, SWEDESBORO, NJ 08085-3181
(856) 832-4359
(856) 832-4381
Mailing address
310 WOODSTOWN RD, SALEM, NJ 08079
(856) 835-4359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09544500
NJ
207R00000X
Internal Medicine Physician
C1-0009183
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10009183
DELAWARE LICENSE
DE
Enumeration date
10/09/2009
Last updated
09/03/2014
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