Individual
MEGAN AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 E ROUTE 70, BUILDING A, MARLTON, NJ 08053-2341
(917) 499-3346
Mailing address
2605 CATHARINE ST, PHILADELPHIA, PA 19146-2311
(917) 499-3346
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00612700
NJ
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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