Individual
DR. MARY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
504 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035
(856) 546-7990
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA03267500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2249201
—
NJ
Enumeration date
10/17/2005
Last updated
07/30/2019
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