Provider Demographics
NPI:1043305808
Name:SZEELEY, PAMELA (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:SZEELEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 307
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-968-7433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA612922084P0800X
PAMD-032501-E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3K6033OtherHEALTHNET, INC
PA559990OtherPENNSYLVANIA BLUE CROSS BLUE SHIELD
NJ24040OtherUNIVERSITY HEALTH PLAN
NJP1540141OtherOXFORD HEALTH PLAN
NJ5728249OtherAETNA US HEALTHCARE
NJ001662775OtherAMERIHEALTH PPO PABS
PA01111980OtherPA MEDICAID
NJ2719796OtherUNITED HEALTH CARE
NJ1786407Medicaid
NJ910003272 00OtherAMERICHOICE
NJ0744858000OtherAMERIHEALTH HMO
NJ1096723OtherHORIZON NJ HEALTH
PA559990OtherPENNSYLVANIA BLUE CROSS BLUE SHIELD
NJ3K6033OtherHEALTHNET, INC