Individual
MARY MONARI SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2339 ROUTE 70 W FL 2, CHERRY HILL, NJ 08002-3315
(856) 532-9519
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
25MA07395200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000107669
AMERICHOICE
NJ
01
—
1174060
AETNA
NJ
01
—
1878143
CIGNA
NJ
01
—
2118421000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
2265364
UNITED HEALTHCARE
NJ
01
—
42480
UNIVERSITY HEALTH PLAN
NJ
01
—
60022541
HORIZON NJ HEALTH
NJ
05
—
9105701
—
NJ
01
—
P3671128
OXFORD
NJ
Enumeration date
11/23/2005
Last updated
01/07/2021
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