Millicent K Channell D.O.

NPI 1043280159 - Family Medicine - 207Q00000X

NPI Details
NPI 1043280159
Gender Female
Enumeration Date 01/23/2006
Last Updated 11/17/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
42 E LAUREL RD
UDP #1700
STRATFORD NJ, 08084-1354, US
Phone (856) 566-7010
Fax (856) 566-6956
Business Location
42 E LAUREL RD
UDP #1700
STRATFORD NJ, 08084-1354, US
Phone (856) 566-7010
Fax (856) 566-6956
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number MB07492500
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According to our database, Dr. Millicent K Channell D.O. NPI is 1043280159, taxonomy code is 207Q00000X and license number is MB07492500, license state is located at New Jersey. Millicent K Channell D.O. physically located at 42 E Laurel Rd, Stratford NJ, 08084-1354. NPI Number Millicent K Channell D.O. has the Individual type.

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1043280159 NPI number is provided on an as is basis without warranty of any kind. 1043280159 is maintained by the National Plan & Provider Enumeration System. The contents of Millicent K Channell D.O. are for informational purposes only.