Individual
DR. RANDA BAHER FODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 ACADEMY DR, MOUNT LAUREL, NJ 08054-2831
(856) 985-9100
(856) 985-9106
Mailing address
2000 ACADEMY DR STE 600, MOUNT LAUREL, NJ 08054-2833
(856) 914-9656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07595300
NJ
Other
Enumeration date
07/12/2006
Last updated
06/25/2024
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