Individual
MR. COLIN ANTHONY PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 CROSS KEYS RD, BERLIN, NJ 08009-9263
(856) 767-0077
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00749200
NJ
Other
Enumeration date
08/03/2022
Last updated
11/09/2022
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