Individual
EILEEN CONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
405 HURFFVILLE CROSSKEYS RD STE 203, SEWELL, NJ 08080-9344
(856) 582-0033
(856) 582-2305
Mailing address
5 BURKE DR, MEDFORD, NJ 08055-3929
(914) 855-4783
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB09131100
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MB09131100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330841
—
NJ
Enumeration date
07/02/2012
Last updated
10/01/2024
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