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Individual

DR. CIANA TYIESH HAYES MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5045 ROUTE 130 STE F, DELRAN, NJ 08075-9707
(856) 461-1717
Mailing address
2142 HARBOUR DR, PALMYRA, NJ 08065-1121

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08975900
NJ
208000000X
Pediatrics Physician
MT193245
PA

Other

Enumeration date
06/25/2008
Last updated
03/07/2019
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