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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336138007 | NPPES |
| New Jersey | MEDICAID | 2249201 |
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