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NPI Code Detail

MEDICARE: NARDIN EL-SHAMMAA DO

MEDICARE: NARDIN EL-SHAMMAA DO
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
12084P0800XPsychiatry Physician25MB11614100NJ

General Provider Information

NPI Number : 1235754508
Entity Type Code : Individual
Provider Name (Legal Business Name) : NARDIN EL-SHAMMAA DO
Provider Business Mailing Address
First Line : 301 LIPPINCOTT DR STE 401
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4197
Country : US
Telephone Number : 856-206-4765
Fax Number : 856-206-4766
Provider Business Practice Location Address
First Line : 728 MARNE HWY STE 100B
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-3128
Country : US
Telephone Number : 856-206-4765
Fax Number : 856-206-4766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2020
Last Update Date : 01/13/2026

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Directions to “ NARDIN EL-SHAMMAA DO” Practice Location

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