Individual
TE DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 HADDON AVE FL 6, CAMDEN, NJ 08103-3101
(856) 757-3500
(856) 365-4088
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10864900
NJ
207R00000X
Internal Medicine Physician
57029757
OH
208M00000X
Hospitalist Physician
Primary
25MA10864900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2017
Last updated
04/05/2022
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