Provider Demographics
NPI:1568676989
Name:BARONE, CATHERINE ANN (DO)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:BARONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 CENTURY PKWY
Mailing Address - Street 2:SUITE #140
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1149
Mailing Address - Country:US
Mailing Address - Phone:856-380-2400
Mailing Address - Fax:856-380-3402
Practice Address - Street 1:100 CENTURY PKWY
Practice Address - Street 2:SUITE #140
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1149
Practice Address - Country:US
Practice Address - Phone:856-380-2400
Practice Address - Fax:856-380-3402
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB05205500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3620000Medicaid
NJ3620000Medicaid
NJE62055Medicare UPIN