NPI 1154655959

Joan S Malcolm, DDS

Practitioner General Practice Dentistry Sicklerville, NJ

Practice location

Address: 402 Independence Blvd, Sicklerville, NJ 08081-1094
Phone: (856) 875-8775
Fax: (856) 875-8717

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 22DI01975700 (NJ)

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Registry record

NPI: 1154655959
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2009
Record last updated: 25 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.