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110 Marter Ave, Suite 507, Moorestown, NJ 08057-3124 | |
(856) 222-4766 | |
(856) 222-1137 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 110 Marter Ave, Moorestown, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386717585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | 25MA05425800 (New Jersey) | Secondary |
207Q00000X | Family Medicine | 25MA05425800 (New Jersey) | Primary |
Provider Name | Andrew Oswari |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619067071 PECOS PAC ID: 7315908076 Enrollment ID: I20041026000145 |
Provider Name | Myung K Chung |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609971803 PECOS PAC ID: 6709821853 Enrollment ID: I20050621000093 |
Mailing Address | Practice Location Address |
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110 Marter Ave, Suite 507, Moorestown, NJ 08057-3124 Ph: (856) 222-4766 | 110 Marter Ave, Suite 507, Moorestown, NJ 08057-3124 Ph: (856) 222-4766 |