Provider Demographics
NPI:1730263195
Name:MITCHELL-WILLIAMS, JOCELYN A (MD)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:A
Last Name:MITCHELL-WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:127 CHURCH RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9402
Practice Address - Country:US
Practice Address - Phone:856-983-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA68034207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2635585OtherAETNA
NJ2080979000OtherAMERIHEALTH/KEYSTONE/IBC
NJ2115525OtherUNITED HEALTHCARE
NJ2635585OtherPA BS HIGHMARK
NJ010003738OtherAMERICHOICE
NJ1391857OtherAMERIHEALTH PPO/PA BS
NJ3K6131OtherHEALTHNET
NJ7272169OtherCIGNA
NJP3196507OtherOXFORD
NJ30819OtherUNIVERSITY HEALTH PLAN
NJ3635169OtherAETNA
NJ7272169OtherCIGNA