Individual
MARISELA VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(505) 917-9678
Mailing address
170 COOPER AVE, CHERRY HILL, NJ 08002-3732
(505) 917-9678
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
09/16/2021
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