Individual
KATELYN CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 HADDON AVE # A, CAMDEN, NJ 08103-3109
(856) 757-3840
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00789500
NJ
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942171
—
NJ
Enumeration date
06/12/2023
Last updated
10/04/2024
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