Individual
ANNA HEADLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 COOPER PLZ, SUITE 215, CAMDEN, NJ 08103-1438
(856) 342-2439
(856) 966-0735
Mailing address
3 COOPER PLZ, SUITE 215, CAMDEN, NJ 08103-1438
(856) 342-2439
(856) 966-0735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA74930
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000094090
OPERATING ENGINEER LOCAL
—
01
—
010004725 00
AMERICHOICE
—
01
—
110243929
RR MEDICARE
—
01
—
1167971
HORIZON NJ HEALTH
—
01
—
1472136
PA BLUE SHIELD
PA
01
—
1472136
AMERIHEALTH PPO
—
01
—
2155659000
AMERIHEALTH, HMO, KEYSTONE, IBC
—
01
—
2255382
UNITED HEALTHCARE
—
01
—
3065361
AETNA US-HEALTHCARE
—
01
—
36607
UNIVERSITY HEALTHPLAN
—
01
—
3K3532
HEALTHNET
—
05
—
8959200
—
NJ
01
—
9855308
CIGNA
—
01
—
P2795627
OXFORD
—
Enumeration date
09/23/2006
Last updated
04/25/2016
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