Provider Demographics
NPI:1851064299
Name:FOX, DENICE A (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:DENICE
Middle Name:A
Last Name:FOX
Suffix:
Gender:F
Credentials:NBC-HWC
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 504
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-0348
Mailing Address - Country:US
Mailing Address - Phone:215-779-1028
Mailing Address - Fax:
Practice Address - Street 1:25 S HADDON AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-8000
Practice Address - Country:US
Practice Address - Phone:215-779-1028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date: