Male or Other

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)

Code

363A00000X

Primary Taxonomy

Yes

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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