Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 25MA11373600 | NJ |
NPI | 1437418290 |
---|---|
Provider Name | Lindsey Elaine Ford |
First Address | Sewell, NJ 08080-2358 |
Second Address | Sewell, NJ 08080-2358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2012 |
Last Update Date | 07/02/2022 |