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Individual

CORNELIO F MOJICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 HADDON AVE, ICN, CAMDEN, NJ 08103-3101
(856) 757-3988
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA04306900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3947106
NJ
Enumeration date
01/09/2006
Last updated
06/30/2012
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