Individual
BETHANY LARA MAPOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6500
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 513-4124
(856) 302-5932
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MB08273100
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OS014628
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157538
—
NJ
Enumeration date
05/07/2007
Last updated
02/06/2020
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