Provider Demographics
NPI:1679734503
Name:TRAISAK, PAMELA (MD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:TRAISAK
Suffix:
Gender:F
Credentials:MD
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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:856-968-7433
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:900 CENTENNIAL BLVD
Practice Address - Street 2:BUILDING 2, SUITE 201
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4689
Practice Address - Country:US
Practice Address - Phone:856-325-6770
Practice Address - Fax:856-673-4510
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2014-06-20
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Provider Licenses
StateLicense IDTaxonomies
PAMT185844207RR0500X
NJMA08746100207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology