| Claudine M De Dan Md Llc | |
|
34 Colson Ln Ste B Mullica Hill NJ 08062-1502 | |
| (856) 628-8120 | |
| (856) 628-8123 |
| Full Name | Claudine M De Dan Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 34 Colson Ln Ste B, Mullica Hill, New Jersey |
| Authorized Official Name and Position | Claudine M De Dan (OWNER) |
| Authorized Official Contact | 8566288120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claudine M De Dan Md Llc 34 Colson Ln Ste B Mullica Hill NJ 08062-1502 Ph: (856) 628-8120 | Claudine M De Dan Md Llc 34 Colson Ln Ste B Mullica Hill NJ 08062-1502 Ph: (856) 628-8120 |
| NPI Number | 1134646268 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7315210663 |
|---|---|
| Medicare Enrollment ID | O20170907002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134646268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA07871700 (New Jersey) | Primary |
| Provider Name | Claudine M De Dan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124058367 PECOS PAC ID: 2769401058 Enrollment ID: I20060207000769 |
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