Individual
LINA LOURDES RABOR FELLIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2445 S DELSEA DR, VINELAND, NJ 08360
(855) 295-5433
Mailing address
2445 S DELSEA DR, VINELAND, NJ 08360-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51074
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA10041500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51074
LICENSE
CT
Enumeration date
07/23/2007
Last updated
07/03/2019
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