Search › New Jersey › 207R00000X
Jennifer Mojica-Itidiare, D.O
NPI 1508129172 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1 Medical Center Dr
Suite 163
Stratford, NJ 08084 - Phone
- (856) 677-6708
- Fax
- (856) 566-6222
- Organisation at this address
- Umdn-Som
Umdnj-Som
Umdnj-Som
Umdnj-Som
Rowansom HousestaffInferred from a shared address, not stated in the registry. - Clinicians at this address
- 157
Additional practice sites
- 435 Hurffville Cross Keys Rd, Turnersville, NJ
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey