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Individual

LULU A JIMMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 THIRD ST, BORDENTOWN, NJ 08505-1321
(609) 298-2005
(609) 324-8267
Mailing address
PO BOX 8500-2946, PHILADELPHIA, PA 19178-0001
(609) 815-7810

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07946700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0191141
NJ
Enumeration date
05/26/2006
Last updated
06/02/2009
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