Organization
CORIELL LIFE SCIENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A SHAMAN (DIRECTOR)
(856) 533-0484
Entity
Organization
Contact information
Practice address
403 HADDON AVE, CAMDEN, NJ 08103-1505
(856) 533-0484
Mailing address
403 HADDON AVE, CAMDEN, NJ 08103-1505
(856) 533-0484
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
25MJ00008800
NJ
Other
Enumeration date
04/07/2016
Last updated
05/08/2016
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