Individual
DR. MAYNARD HOLGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 227-6575
(856) 237-8042
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06132400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800207
—
NJ
Enumeration date
05/17/2006
Last updated
05/26/2011
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