Individual
MS. MARY ALLISON ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1206 W SHERMAN AVE, VINELAND, NJ 08360-6911
(856) 696-9933
(856) 696-9939
Mailing address
1206 W SHERMAN AVE, VINELAND, NJ 08360-6911
(856) 696-9933
(856) 696-9939
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00255200
NJ
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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