Healthcare Provider Details

I. General information

NPI: 1699765354
Provider Name (Legal Business Name): DANIELLE S. NORDONE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 10/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 RIVER ROAD COOPER FAMILY MEDICINE, PC
CAMDEN NJ
08105
US

IV. Provider business mailing address

3 COOPER PLAZA SUITE 502
CAMDEN NJ
08103
US

V. Phone/Fax

Practice location:
  • Phone: 856-356-4988
  • Fax: 856-365-0279
Mailing address:
  • Phone: 856-968-7433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC2-0007502
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMB07867200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: