Individual
DR. RENEE PATRICE BULLOCK-PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
200 TRENTON RD, DEBORAH HEART AND LUNG HOSPITAL, BROWNS MILLS, NJ 08015-1705
(609) 893-6611
Mailing address
200 TRENTON RD, DEBORAH HEART AND LUNG HOSPITAL, BROWNS MILLS, NJ 08015-1705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08712700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08712700
NJ MEDICAL LICENSE NO.
NJ
Enumeration date
06/09/2010
Last updated
04/12/2012
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