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Individual

DR. JILL MORTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1203 N HIGH ST, SUITE A, MILLVILLE, NJ 08332-2530
(856) 327-0182
(856) 327-7381
Mailing address
1203 N HIGH ST, SUITE A, MILLVILLE, NJ 08332-2530
(856) 327-0182
(856) 327-7381

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MB46459
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3853900
NJ
Enumeration date
06/08/2006
Last updated
08/06/2014
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