Individual
DAVID V CONDOLUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
709 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3715
(856) 566-3190
(856) 783-2193
Mailing address
709 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MB42223
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440000826
RAILROAD MEDICARE
NJ
05
—
748404
—
NJ
Enumeration date
01/23/2006
Last updated
02/02/2017
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