Dickerman, Mindy J

Dickerman, Mindy J is an individual health care provider with primary practice located at 1 Cooper Plz , Camden NJ 08103-1461. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Dickerman, Mindy J can be contacted via phone (856) 342-2900.

Contact Information

Primary practice address
1 Cooper Plz Camden NJ 08103-1461
Phone: (856) 342-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X C1-0012274 Delaware
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD437867 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 25MA10175300 New Jersey

Profile Details

NPI number 1912991795
LBN Legal business name Dickerman, Mindy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912991795 NPPES
Illinois MEDICAID 036113329

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