Individual
THEODORE DAVID CONLIFFE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 ROUTE 73 N STE 301&401, MARLTON, NJ 08053-1227
(800) 321-9999
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07355800
NJ
208100000X
Physical Medicine & Rehabilitation Physician
307356
NY
208100000X
Physical Medicine & Rehabilitation Physician
MD065466L
PA
208100000X
Physical Medicine & Rehabilitation Physician
ME152938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0768790000
IBC
PA
01
—
2124376000
IBC
NJ
01
—
2678030
AETNA
PA
01
—
2740687
AETNA
NJ
01
—
6719765
CIGNA
—
Enumeration date
05/20/2006
Last updated
06/10/2024
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