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Contact Information

PRAMEELA DIBBA, MD
100 BOWMAN DR
VOORHEES TOWNSHIP, NJ08043-9612
 Phone: 856-247-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PRAMEELA DIBBA · (Female)

NPI # 1730434598
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2012
Last updated 09/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA09446900
  • PA License # MD467466
Hospital affiliation(s)
  • TEMPLE UNIVERSITY HOSPITAL - (Acute Care)
    3401 NORTH BROAD STREET
    PHILADELPHIA, PA 19140
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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