Active NPIIndividual provider

Jaclyn M Morales, MD

Family Medicine in Lindenwold, New Jersey

NPI Number1912403833
Practice location
406 E Gibbsboro RD Frnt, Lindenwold, NJ 08021-1907
Fax
856-309-8827
Last updated
August 31, 2022

Jaclyn Marie Morales is a Family Medicine based in Lindenwold, NJ. Jaclyn Marie Morales practices in Lindenwold, NJ and has the professional credentials of MD. The NPI Number for Jaclyn Marie Morales is 1912403833 and holds a License No. 25MA11197500 (NJ). The current practice location address for Jaclyn Marie Morales is 406 E Gibbsboro RD Frnt, Lindenwold, NJ 08021-1907 and can be reached out via phone at 856-309-0100 and via fax at 856-309-8827.

Provider Profile Details

NPI Number
1912403833
Provider Name
Jaclyn Marie Morales
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
406 E Gibbsboro RD Frnt, Lindenwold, NJ 08021-1907
Phone Number
856-309-0100
Fax Number
856-309-8827
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
Jaclyn Bollettieri, MD (Former Name)
Provider Enumeration Date
March 30, 2018
Last Update Date
August 31, 2022
Certification Date
August 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
406 E Gibbsboro RD Frnt
Lindenwold, NJ 08021-1907
Zip
08021-1907
Phone Number
856-309-0100
Fax Number
856-309-8827
Lindenwold, NJ 08021Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number
25MA11197500
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn M Morales, MD?

The NPI number of Jaclyn M Morales, MD is 1912403833. It was assigned on March 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Jaclyn M Morales, MD?

Jaclyn M Morales, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA11197500.

Where does Jaclyn M Morales, MD practice?

The practice location is 406 E Gibbsboro RD Frnt, Lindenwold, NJ 08021-1907. The office can be reached at 856-309-0100 (phone) or 856-309-8827 (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 1912403833 directly on the NPPES registry website.

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