Provider Demographics
NPI:1164460366
Name:PALMER, VICTORIA RITA (DO)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:RITA
Last Name:PALMER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 MILFORD WARREN GLEN RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08804-2023
Mailing Address - Country:US
Mailing Address - Phone:908-995-1590
Mailing Address - Fax:908-995-7951
Practice Address - Street 1:1052 MILFORD WARREN GLEN RD
Practice Address - Street 2:
Practice Address - City:BLOOMSBURY
Practice Address - State:NJ
Practice Address - Zip Code:08804-2023
Practice Address - Country:US
Practice Address - Phone:908-995-1590
Practice Address - Fax:908-995-7951
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ62734207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine