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GLORIA FONTANE LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 218-5634
(856) 218-5664
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 513-4124
(856) 302-5932

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MB09641100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0466531
NJ
Enumeration date
06/18/2012
Last updated
02/06/2020
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