Individual
KEDRON NICOLE HORVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 EGG HARBOR RD STE 604, SEWELL, NJ 08080-9408
(856) 232-6471
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
MA08801000
NJ
207Q00000X
Family Medicine Physician
MT190592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA08801000
STATE LICENSE
NJ
Enumeration date
05/23/2007
Last updated
01/07/2021
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