Individual
DAVID OBANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 922-0116
Mailing address
825 OLD LANCASTER RD, STE 320, BRYN MAWR, PA 19010-3235
(610) 527-3800
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA06043400
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD066740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0809833000
BLUE CROSS BLUE SHIELD
NJ
05
—
7242603
—
NJ
Enumeration date
07/29/2005
Last updated
02/24/2022
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