Individual
RAN BI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 W. SHERMAN AVE., VINELAND, NJ 08360
(856) 641-8662
(856) 575-4944
Mailing address
1505 W. SHERMAN AVE., BOX 93, VINELAND, NJ 08360
(856) 641-8662
(856) 575-4944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83428
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2023
Last updated
05/13/2026
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