Basic Information
| Provider Information | |||||||||
| NPI: | 1326144940 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WARSHAL | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FEDERAL ST # 200 | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563564924 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2 COOPER PLAZA 400 HADDON AVE | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8556322667 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 10/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0201X | MD-044178-L | PA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology | 207VX0201X | MA66093 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
ID Information
| ID | Type | State | Issuer | Description | 476039 | 01 | NJ | PA BS HIGHMARK | OTHER | P694429 | 01 | NJ | OXFORD | OTHER | 160055134 | 01 | NJ | RR MEDICARE | OTHER | 010003767 | 01 | NJ | AMERICHOICE | OTHER | 1216909 | 01 | NJ | UNITED HEALTHCARE | OTHER | 3K5435 | 01 | NJ | HEALTHNET | OTHER | 0743936000 | 01 | NJ | AMERIHEALTH/KEYSTON/IBC | OTHER | 1097656 | 01 | NJ | CIGNA | OTHER | 1002841 | 01 | NJ | AETNA | OTHER | 547745 | 01 | NJ | AMERIHEALTH PPO/PA BS | OTHER | 7614608 | 05 | NJ | MEDICAID | 1066530 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 42110 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 1106104 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 2051695 | 01 | NJ | AETNA | OTHER |