Individual
DOROTHEA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 CHESTER AVE, MOORESTOWN, NJ 08057-3306
(856) 222-3292
Mailing address
8 PANCOAST BLVD, DELRAN, NJ 08075-1436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00667600
NJ
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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