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Search › New Jersey › 363LF0000X

Edwin Custodio, APN

NPI 1174318844 · on the registry since 2025 · sole proprietor

Practice

Address
860 S White Horse Pike
Hammonton, NJ 08037
Phone
(609) 567-0200
Fax
(609) 567-1951
Organisation at this address
Southern Jersey Family Medical Centers, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey