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Individual

MRS. CYNTHIA LOUISE MALIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1113 HOSPITAL DR, 1ST FLOOR, WILLINGBORO, NJ 08046-1103
(609) 835-5821
(609) 835-5827
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP010300
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00283000
NJ
363LA2200X
Adult Health Nurse Practitioner
SP010300
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SP010300
PA
Enumeration date
05/14/2009
Last updated
05/19/2014
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