Individual
MARY JEANNE SPINOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
570 EGG HARBOR RD STE C2, SEWELL, NJ 08080-2359
(856) 218-0300
Mailing address
570 EGG HARBOR RD STE C2, SEWELL, NJ 08080-2359
(856) 218-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05076400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664301
—
NJ
Enumeration date
01/25/2006
Last updated
12/22/2020
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