Provider Demographics
NPI:1730340167
Name:KUMAR, MARY ANN MACATOL (MD)
Entity type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:MACATOL
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-375-6240
Mailing Address - Fax:856-375-6241
Practice Address - Street 1:315 ROUTE 70 E STE A
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2408
Practice Address - Country:US
Practice Address - Phone:856-375-6240
Practice Address - Fax:856-375-6241
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2025-05-28
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Provider Licenses
StateLicense IDTaxonomies
DECI-0009221207Q00000X
PAMD438129207Q00000X
NJ25MA08638200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0220884Medicaid
NJ0220884Medicaid