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NPI Code Detail

MEDICARE: COLLEEN M MCCLEERY M.D.

MEDICARE: COLLEEN M MCCLEERY M.D.
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
1207V00000XObstetrics & Gynecology PhysicianMA068409NJ

General Provider Information

NPI Number : 1245201391
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN M MCCLEERY M.D.
Provider Business Mailing Address
First Line : PO BOX 536
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-0536
Country : US
Telephone Number : 856-669-6050
Fax Number : 856-651-0794
Provider Business Practice Location Address
First Line : 406 E GIBBSBORO RD
Second Line :
City : LINDENWOLD
State : NJ
Zip : 08021-1907
Country : US
Telephone Number : 856-435-7007
Fax Number : 856-435-3866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 11/28/2007

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