Individual
DR. RENITA MANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 BOWMAN DR FL 1, VOORHEES, NJ 08043
(856) 247-3000
(856) 247-2597
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB10471400
NJ
207R00000X
Internal Medicine Physician
285058
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
285058
NY
208M00000X
Hospitalist Physician
Primary
25MB10471400
NJ
Other
Enumeration date
06/06/2013
Last updated
01/21/2022
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