MEDICARE: FELICIA M BOOKER MD

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
1	208000000X	Pediatrics Physician	MD068653L	PA
2	208000000X	Pediatrics Physician	25MA06550600	NJ

General Provider Information

NPI Number	:	1508806647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA M BOOKER MD

Provider Business Mailing Address
First Line	:	401 ROUTE 73 N BLDG 10, SUITE 320
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053
Country	:	US
Telephone Number	:	609-625-8585
Fax Number	:	609-625-3415

Provider Business Practice Location Address
First Line	:	5401 HARDING HWY STE 6
Second Line	:
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-2243
Country	:	US
Telephone Number	:	609-625-8585
Fax Number	:	609-625-3415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	06/23/2023

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Directions to “ FELICIA M BOOKER MD” Practice Location

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