Individual
ANNA QUILINO FAMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 ROUTE 70 E STE A, CHERRY HILL, NJ 08034-2408
(856) 375-6240
Mailing address
7000 ATRIUM WAY, STE 6, MOUNT LAUREL, NJ 08054-3917
(856) 316-0916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09313400
NJ
207Q00000X
Family Medicine Physician
MD429823
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102379457
—
PA
01
—
1585117
GATEWAY-WMG
PA
01
—
20097678
AMERIHEALTH MERCY-WMG
PA
01
—
2135831
HIGHMARK BLUE SHIELD
PA
01
—
284925
UNISON-WMG
PA
01
—
30096342
AMERIHEALTH MERCYWMG
PA
01
—
956405
CAREFIRST MD BCBS
MD
Enumeration date
09/24/2006
Last updated
05/28/2025
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