Individual
MICHELE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1301 SPRINGDALE RD, CHERRY HILL, NJ 08003-2763
(856) 424-4444
(856) 673-2589
Mailing address
103 SIMI CT, CHERRY HILL, NJ 08003-3752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00388400
NJ
174400000X
Specialist
PT001674E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1412556
UNITEDHEALTHCARE MPIN
NJ
01
—
147339
AMERIHEALTH
NJ
01
—
2230040
FIRST HEALTH
NJ
Enumeration date
10/11/2006
Last updated
07/08/2007
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