MEDICARE: DR. MARY ANN MACATOL KUMAR 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	207Q00000X	Family Medicine Physician	CI-0009221	DE
2	207Q00000X	Family Medicine Physician	MD438129	PA
3	207Q00000X	Family Medicine Physician	25MA08638200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730340167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ANN MACATOL KUMAR MD

Provider Business Mailing Address
First Line	:	301 LIPPINCOTT DR STE 410
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-4197
Country	:	US
Telephone Number	:	856-375-6240
Fax Number	:	856-375-6241

Provider Business Practice Location Address
First Line	:	315 ROUTE 70 E STE A
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08034-2408
Country	:	US
Telephone Number	:	856-375-6240
Fax Number	:	856-375-6241

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

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	05/28/2025

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