Provider Demographics
NPI:1538142120
Name:AMUI-BELLON, JEWEL NAAKARLEY (MD)
Entity Type:Individual
Prefix:
First Name:JEWEL NAAKARLEY
Middle Name:
Last Name:AMUI-BELLON
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 1:8002 LINCOLN DRIVE WEST
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3209
Mailing Address - Country:US
Mailing Address - Phone:856-751-5575
Mailing Address - Fax:856-751-7289
Practice Address - Street 1:1600 HADDON AVE FL 3
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3101
Practice Address - Country:US
Practice Address - Phone:856-757-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06825200207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083869YAMJMedicare PIN
I17757Medicare UPIN