Individual
DR. MONIQUE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD071679L
PA
208000000X
Pediatrics Physician
Primary
25MA09157000
NJ
2080C0008X
Child Abuse Pediatrics Physician
25MA09157000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8297703
—
NJ
01
—
F82709
UPIN
—
Enumeration date
03/08/2006
Last updated
12/01/2020
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