Mrs Kerri Likakis, | |
57 Sturgis Rd, Edison, NJ 08817-4071 | |
(908) 239-3542 | |
Not Available |
Full Name | Mrs Kerri Likakis |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 57 Sturgis Rd, Edison, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285059873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 967322 (New Jersey) | Primary |
Provider Name | Barnabas Health Medical Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kerri Likakis, 57 Sturgis Rd, Edison, NJ 08817-4071 Ph: (908) 239-3542 | Mrs Kerri Likakis, 57 Sturgis Rd, Edison, NJ 08817-4071 Ph: (908) 239-3542 |
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