Individual
ANNETTE C REBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 FELLOWSHIP RD, SUITE 101, MOUNT LAUREL, NJ 08054-3419
(856) 963-3572
(856) 338-9211
Mailing address
501 FELLOWSHIP RD, SUITE 101, MOUNT LAUREL, NJ 08054-3419
(856) 963-3572
(856) 338-9211
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA62547
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010003728 00
AMERICHOICE
—
01
—
0828674000
AMERIHEALTH, HMO, KEYSTONE, IBC
—
01
—
1023743
HORIZON NJ HEALTH
—
01
—
1445508
UNITED HEALTH CARE
—
01
—
17285
UNIVERSITH HEALTH PLAN
—
05
—
1825402
—
NJ
01
—
2837621
CIGNA
—
01
—
3K6109
HEALTHNET
—
01
—
533279
AETN
—
01
—
802995
AMERIHEALTH PPO
—
01
—
83709
AMERIGROUP
—
01
—
P405898
OXFORD HELATH PAN
—
Enumeration date
10/19/2006
Last updated
04/25/2016
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