Individual
NICOLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A., C.
Contact information
Practice address
401 YOUNG AVE, SUITE 245, MOORESTOWN, NJ 08057-3130
(609) 267-9400
(609) 267-9457
Mailing address
4 EVES DR # A, SUITE 100, MARLTON, NJ 08053-3195
(609) 267-9400
(609) 267-9457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MP799
NJ
Other
Enumeration date
06/07/2006
Last updated
06/10/2015
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