Provider Demographics
NPI:1821060005
Name:EPSTEIN, DEBRA M (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:EPSTEIN
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:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-0344
Mailing Address - Country:US
Mailing Address - Phone:856-234-4436
Mailing Address - Fax:856-234-4469
Practice Address - Street 1:1000 S LENOLA RD
Practice Address - Street 2:BLDG. 2, SUITE 103
Practice Address - City:MAPLE SHADE
Practice Address - State:NJ
Practice Address - Zip Code:08052-1630
Practice Address - Country:US
Practice Address - Phone:856-234-4436
Practice Address - Fax:856-234-4469
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA057497207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF30702Medicare UPIN
NJ727110Medicare ID - Type Unspecified