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1508522269
STEPHANIE J IDIAQUEZ PATEL
CAMDEN, NJ
NPI
1508522269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ01186600)
Enumeration Date
2021-11-16
Last Update Date
2023-10-17
Business Address
STEPHANIE J IDIAQUEZ PATEL DNP, AGACNP-BC
1 COOPER PLZ
CAMDEN, NJ 08103-1461
Phone number: 856-342-2000
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Mailing Address
STEPHANIE J IDIAQUEZ PATEL DNP, AGACNP-BC
1 FEDERAL ST STE 200
CAMDEN, NJ 08103-1088
Phone number: 848-288-6935
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