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NPI Code Detail

MEDICARE: WILHELMINA D'DUMO APN

MEDICARE: WILHELMINA D'DUMO APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerNN06591300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790756377
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILHELMINA D'DUMO APN
Provider Business Mailing Address
First Line : 2250 CHAPEL AVE W
Second Line : SUITE 100
City : CHERRY HILL
State : NJ
Zip : 08002-2051
Country : US
Telephone Number : 856-482-9000
Fax Number : 856-482-1159
Provider Business Practice Location Address
First Line : 2250 CHAPEL AVE W
Second Line : SUITE # 100
City : CHERRY HILL
State : NJ
Zip : 08002-2051
Country : US
Telephone Number : 856-482-9000
Fax Number : 856-482-1159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 08/15/2012

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Directions to “ WILHELMINA D'DUMO APN” Practice Location

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