Miss Melody J Boudwin, PA
Physician Assistant in Delran, New Jersey
1235469149- Practice location
- 8001 Route 130, Delran, NJ 08075-1870
- Phone
- 856-461-1400
- Fax
- 856-461-2366
- Last updated
- March 30, 2016
Melody Jan Boudwin is a Physician Assistant based in Delran, NJ. Melody Jan Boudwin practices in Delran, NJ and has the professional credentials of PA. The NPI Number for Melody Jan Boudwin is 1235469149 and holds a License No. 25MP00226700 (NJ). The current practice location address for Melody Jan Boudwin is 8001 Route 130, Delran, NJ 08075-1870 and can be reached out via phone at 856-461-1400 and via fax at 856-461-2366.
Provider Profile Details
- NPI Number
- 1235469149
- Provider Name
- Melody Jan Boudwin
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8001 Route 130, Delran, NJ 08075-1870
- Phone Number
- 856-461-1400
- Fax Number
- 856-461-2366
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 29, 2009
- Last Update Date
- March 30, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8001 Route 130
Delran, NJ 08075-1870 - City
- Delran
- State
- New Jersey
- Zip
- 08075-1870
- Phone Number
- 856-461-1400
- Fax Number
- 856-461-2366
Provider Business Mailing Address Details
- Address
- 33 Brook Dr
Burlington, NJ 08016-3932 - City
- Burlington
- State
- NJ
- Zip
- 08016-3932
- Phone Number
- 856-461-1400
- Fax Number
- 856-461-2366
License Information
- License Number
- 25MP00226700
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Delran, NJ
View all Physician Assistants in Delran →Frequently Asked Questions
What is the NPI number of Miss Melody J Boudwin, PA?
The NPI number of Miss Melody J Boudwin, PA is 1235469149. It was assigned on December 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Miss Melody J Boudwin, PA?
Miss Melody J Boudwin, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00226700.
Where does Miss Melody J Boudwin, PA practice?
The practice location is 8001 Route 130, Delran, NJ 08075-1870. The office can be reached at 856-461-1400 (phone) or 856-461-2366 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235469149 directly on the NPPES registry website.