Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 25MA06273100 | NJ |
NPI | 1144279571 |
---|---|
Provider Name | Maria C Molina |
First Address | Cherry Hill, NJ 08002-0505 |
Second Address | Northfield, NJ 08225-1844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1172828 | HORIZON NJ HEALTH PROV # (01) | NJ |
177909 | CONSUMER HEALTH NETWORK (01) | NJ |
2309603 | UNITED HEALTHCARE PROV# (01) | NJ |
2K3590 | HEALTHNET PROVIDER NUMBER (01) | NJ |
3183156 | AETNA PROVIDER NUMBER (01) | NJ |
6780105 | (05) | NJ |
P2899068 | OXFORD PROVIDER NUMBER (01) | NJ |