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Individual

CAROL MCDOUGALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-C

Contact information

Practice address
1 BRACE RD STE C1, CHERRY HILL, NJ 08034-2600
(856) 428-4100
(856) 428-5748
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
26NC08550500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101281
NJ
Enumeration date
04/05/2006
Last updated
08/15/2024
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