Willard, Mary

Willard, Mary is an individual health care provider with primary practice located at 504 White Horse Pike , Haddon Heights NJ 08035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Willard, Mary can be contacted via phone (856) 546-7990.

Contact Information

Primary practice address
504 White Horse Pike Haddon Heights NJ 08035
Phone: (856) 546-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA03267500 New Jersey

Profile Details

NPI number 1336138007
LBN Legal business name Willard, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336138007 NPPES
New Jersey MEDICAID 2249201

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