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NPI Code Detail

MEDICARE: ANNA QUILINO FAMADOR M.D.

MEDICARE: ANNA QUILINO FAMADOR 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
1207Q00000XFamily Medicine PhysicianMD429823PA
2207Q00000XFamily Medicine Physician25MA09313400NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12135831OTHERPAHIGHMARK BLUE SHIELD
2284925OTHERPAUNISON-WMG
320097678OTHERPAAMERIHEALTH MERCY-WMG
430096342OTHERPAAMERIHEALTH MERCYWMG
5956405OTHERMDCAREFIRST MD BCBS
61585117OTHERPAGATEWAY-WMG
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912007576
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA QUILINO FAMADOR M.D.
Provider Business Mailing Address
First Line : 7000 ATRIUM WAY
Second Line : STE 6
City : MOUNT LAUREL
State : NJ
Zip : 08054-3917
Country : US
Telephone Number : 856-316-0916
Fax Number :
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 05/28/2025

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Directions to “ ANNA QUILINO FAMADOR M.D.” Practice Location

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