Individual
ROSE MARY FAIR-COVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 BOWMAN DR STE 385FRONT, VOORHEES, NJ 08043-9623
(856) 247-7220
(856) 247-7768
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MB05814400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188875
—
NJ
01
—
DH1256
MEDIARE RAILROAD CARRIER
NJ
Enumeration date
10/03/2006
Last updated
10/04/2024
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