Eileen Condren D.O.
Pediatric Adolescent Medicine Physician in Sewell, NJ(View on Map)
Full Name
Eileen Condren D.O.
NPI Number
1396009684
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/02/2012
Specialties
(Taxonomies)Code
2080A0000X
208000000X
Primary Taxonomy
Yes
No
Licenses
State
New Jersey
License Number
25MB09131100
Contact
Information
Purpose
Mailing
Location
Address
5 BURKE DR
405 HURFFVILLE CROSSKEYS RD STE 203
City
Medford
Sewell
State
NJ
NJ
Postal Code
08055-3929
08080-9344
Country
US
US
Telephone Number
(914) 855-4783
(856) 582-0033
Identifiers
Identifier
0330841
Identifier State
NJ
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
DIRECT
DIRECT
Endpoint
econdren249036@directvirtua.org
econdren249036@directvirtua.org
econdren249036@directvirtua.org
Endpoint Description
Unknown
Unknown
Unknown
Use
Unknown
Unknown
Unknown
Content Type
Unknown
Unknown
Unknown
Affiliation
N
N
N
Endpoint Location
1474 Tanyard RoadSuite D102Sewell, NJ08080US
42 E Laurel Rd Ste 2500Stratford, NJ080841354US
405 Hurffville Crosskeys Rd Ste 203Sewell, NJ080809344US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/01/2024