Healthcare Provider Details

I. General information

NPI: 1215017843
Provider Name (Legal Business Name): KAMILA NEMEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 FRIES MILL RD SUITE N-1
TURNERSVILLE NJ
08012-2015
US

IV. Provider business mailing address

188 FRIES MILL RD SUITE N-1
TURNERSVILLE NJ
08012-2015
US

V. Phone/Fax

Practice location:
  • Phone: 856-875-0505
  • Fax: 856-875-9556
Mailing address:
  • Phone: 856-875-0505
  • Fax: 856-875-9556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA51545
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: