Individual
KIMBERLY NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
128 ROUTE 70 STE AANDB, MEDFORD, NJ 08055
(609) 953-7105
(609) 953-7110
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10617300
NJ
Other
Enumeration date
04/14/2014
Last updated
10/19/2020
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