Individual
MR. MICHAEL PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
111 N JACKSON AVE, WENONAH, NJ 08090-1723
(856) 357-0490
Mailing address
111 N JACKSON AVE, WENONAH, NJ 08090-1723
(856) 357-0490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ00852300
NJ
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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