Female

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

Provider Address