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Organization

EDWARD W CIPOLLA DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON E DARE (OFFICE MANAGER)
(856) 935-0804
Entity
Organization

Contact information

Practice address
330 WOODSTOWN RD STE 1, SALEM, NJ 08079-2093
(856) 935-0804
(856) 935-4039
Mailing address
330 WOODSTOWN RD STE 1, SALEM, NJ 08079-2093
(856) 935-0804
(856) 935-4039

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3103307
NJ
Enumeration date
11/23/2009
Last updated
09/02/2010
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