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Individual

DR. ANITA VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5711 BIRCHVIEW PL, CLINTON, MD 20735-4817
(908) 472-1127
(862) 252-9399
Mailing address
5711 BIRCHVIEW PL, CLINTON, MD 20735-4817
(908) 472-1127

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA41607
NJ
207R00000X
Internal Medicine Physician
308186
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3998509
NJ
Enumeration date
06/07/2006
Last updated
11/29/2022
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