Daniel Thomas Ellis, MD | |
18 Laurel Rd E, Stratford, NJ 08084-1327 | |
(856) 346-7816 | |
(856) 346-6385 |
Full Name | Daniel Thomas Ellis |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 18 Laurel Rd E, Stratford, 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 |
---|---|---|---|
1134162522 | NPI | - | NPPES |
0068489 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MA78633 (New Jersey) | Primary |
Entity Name | Atlanticare Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Entity Name | Atlantic Emergency Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124112768 PECOS PAC ID: 1153354170 Enrollment ID: O20050912000320 |
Entity Name | Atlantic Emergency Associates - Hammonton Sed Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427285709 PECOS PAC ID: 9133273329 Enrollment ID: O20090824000019 |
Entity Name | Atlanticare Urgent Care Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083991616 PECOS PAC ID: 3971770959 Enrollment ID: O20120113000486 |
Mailing Address | Practice Location Address |
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Daniel Thomas Ellis, MD 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4300 | Daniel Thomas Ellis, MD 18 Laurel Rd E, Stratford, NJ 08084-1327 Ph: (856) 346-7816 |
Dr. Alan Nicolo Lucerna, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-566-6859 | |
Dr. Eric Kyle Dichter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Stratford, NJ 08084 Phone: 856-566-7050 | |
Dr. Kevin Thomas Dwyer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Stratford, NJ 08084 Phone: 856-346-7985 Fax: 856-346-6573 | |
Dr. Robert John Horn, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: One Medical Center Drive, Umdnj-som, Stratford, NJ 08084 Phone: 856-566-6708 | |
Dr. Razwana Wahdat, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-346-7985 | |
Dr. Charles H. Nolte, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 E Laurel Rd, Department Of Emergency Medicine, Stratford, NJ 08084 Phone: 856-346-1985 Fax: 856-346-6573 |