Dr Kelly D Fife, MD | |
175 Madison Ave, Mount Holly, NJ 08060-2038 | |
(609) 267-0700 | |
(609) 261-4180 |
Full Name | Dr Kelly D Fife |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 175 Madison Ave, Mount Holly, 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 |
---|---|---|---|
1356343743 | NPI | - | NPPES |
3715400 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 25MA04083900 (New Jersey) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly D Fife, MD 1295 Route 38, P.o.box 479, Hainesport, NJ 08036-2702 Ph: (609) 261-7017 | Dr Kelly D Fife, MD 175 Madison Ave, Mount Holly, NJ 08060-2038 Ph: (609) 267-0700 |
Dr. Matthew Lawrence Uriell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Dr. Lemuel S. Ariaratnam, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-267-0700 Fax: 609-261-4180 | |
Dr. Deborah A. Butzbach, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-267-0700 Fax: 609-261-4180 |