Provider Demographics
NPI:1619411667
Name:MAGGIONCALDA, HELENE (MA)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:MAGGIONCALDA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 S WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1656
Mailing Address - Country:US
Mailing Address - Phone:443-463-6774
Mailing Address - Fax:
Practice Address - Street 1:59 S WOODBURY RD
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-1656
Practice Address - Country:US
Practice Address - Phone:443-463-6774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-09
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator