Dr Gordon Lee Lerch, DO | |
63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026 | |
(856) 435-6000 | |
(856) 782-1667 |
Full Name | Dr Gordon Lee Lerch |
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Gender | Male |
Speciality | Family Medicine |
Location | 63 N Lakeview Dr, Gibbsboro, 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 |
---|---|---|---|
1790885275 | NPI | - | NPPES |
3670201 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB03948400 (New Jersey) | Secondary |
207Q00000X | Family Medicine | 25MB03948400 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
---|---|
Dr Gordon Lee Lerch, DO 402 Lippincott Dr, Marlton, NJ 08053-0598 Ph: (856) 782-3300 | Dr Gordon Lee Lerch, DO 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026 Ph: (856) 435-6000 |
Rosemarie C Villamayor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 N Lakeview Dr, Suite 201, Gibbsboro, NJ 08026 Phone: 856-783-1777 | |
Dr. Timothy X Paxton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Foster Ave, Suite 3a, Gibbsboro, NJ 08026 Phone: 856-761-5840 | |
Jeffrey T Tokazewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 N. Lakeview Dr, Bldg B, Ste 201, Gibbsboro, NJ 08026 Phone: 856-783-1777 |