Basic Information
Provider Information
NPI: 1295996361
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOVELAND-JONES
FirstName: CATHERINE
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 FEDERAL ST # 200
Address2:  
City: CAMDEN
State: NJ
PostalCode: 081031088
CountryCode: US
TelephoneNumber: 8563564924
FaxNumber:  
Practice Location
Address1: 2 COOPER PLZ, 400 HADDON AVE
Address2:  
City: CAMDEN
State: NJ
PostalCode: 08103
CountryCode: US
TelephoneNumber: 8556322667
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2008
LastUpdateDate: 10/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMT 185981PAN Allopathic & Osteopathic PhysiciansSurgery 
2086X0206XQ0783TXN Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology
2086X0206X25MA09715400NJY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

ID Information
IDTypeStateIssuerDescription
339350601 (MDACC)05TX MEDICAID
8EP87801TXBCBS (MDACC)OTHER


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