Individual
DR. MICHAEL B. MARCHILDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VIRTUA AND DUPONT CHILDRENS HEALTH PROGRAM, 1000 WHITE HORSE ROAD SUITE 204, VOORHEES, NJ 08043-4406
(856) 309-8508
(856) 309-8556
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MA03903300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1176902
—
PA
05
—
3716708
—
NJ
05
—
4881036
—
MD
Enumeration date
10/13/2006
Last updated
09/29/2011
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