Mr. Nathan D. Counsellor PA-C
Physician Assistant in Haddon Township, NJ(View on Map)
Full Name
Mr. Nathan Douglas Counsellor PA-C
NPI Number
1992270417
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/11/2018
Specialties
(Taxonomies)Licenses
State
New Jersey
License Number
25MP00497400
Contact
Information
Purpose
Mailing
Location
Address
408 SHEPPARD AVE
201 HADDON AVE
City
Runnemede
Haddon Township
State
NJ
NJ
Postal Code
08078-1523
08108-2860
Country
US
US
Telephone Number
(856) 371-7214
(856) 854-0300
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/11/2018
Provider Address
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