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Individual

CODY CLINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
221 VICTORIA ST, GLASSBORO, NJ 08028-2278
(856) 536-1476
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MB09745400
NJ

Other

Enumeration date
06/20/2011
Last updated
03/13/2018
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