Provider Demographics
NPI:1518965532
Name:PEPE, ROSALIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALIE
Middle Name:
Last Name:PEPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:401 HADDON AVE
Mailing Address - Street 2:ROOM 275
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1505
Mailing Address - Country:US
Mailing Address - Phone:856-757-7767
Mailing Address - Fax:856-757-7803
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 513
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-963-3715
Practice Address - Fax:856-635-1052
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08002800207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
2201411OtherUNITED HEALTHCARE
60020728OtherHORIZON NJ HEALTH
NJ8130701Medicaid
P3692814OtherOXFORD HEALTHPLAN
PA0142778001Medicaid
1136809OtherAETNA
3K6108OtherHEALTHNET
42051OtherUNIVERSITY HEALTHPLAN
P00327013OtherRR MEDICARE
PA1793529OtherPA BLUE SHIELD
001007810OtherAMERICHOICE
6813981OtherCIGNA
PAE93618Medicare UPIN
PA1793529OtherPA BLUE SHIELD