Individual
TAMARAH MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN-C
Contact information
Practice address
1 BRACE RD STE C1, CHERRY HILL, NJ 08034-2600
(856) 428-4100
(856) 428-5748
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN08582100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116424
—
NJ
Enumeration date
09/05/2006
Last updated
08/28/2024
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