Individual
DR. RONALD P WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
130 LAKEHURST RD, BROWNS MILLS, NJ 08015-6057
(609) 893-3133
(609) 893-7972
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB04822200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2357305
—
NJ
Enumeration date
06/30/2006
Last updated
03/17/2022
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