Dr Kelly Glenn Speich, MD | |
200 Bowman Dr Ste D285, Voorhees, NJ 08043-9626 | |
(856) 602-4000 | |
Not Available |
Full Name | Dr Kelly Glenn Speich |
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Gender | Male |
Speciality | Otolaryngology |
Location | 200 Bowman Dr Ste D285, Voorhees, 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 |
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1164926770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 25MA11730800 (New Jersey) | Primary |
Entity Name | Regional Otolaryngology Head And Neck Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679528426 PECOS PAC ID: 9739162637 Enrollment ID: O20040611000013 |
Mailing Address | Practice Location Address |
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Dr Kelly Glenn Speich, MD 660 White Plains Rd Fl 4, Tarrytown, NY 10591-5187 Ph: (914) 333-5801 | Dr Kelly Glenn Speich, MD 200 Bowman Dr Ste D285, Voorhees, NJ 08043-9626 Ph: (856) 602-4000 |
Gileno Oliveira Fonseca Filho, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sheppard Rd, Voorhees, NJ 08043 Phone: 856-772-1617 | |
Dr. Edward David Scheiner, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Drive, Suite D-285, Voorhees, NJ 08043 Phone: 856-602-4000 Fax: 856-210-2849 | |
Luke Young Joong Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sheppard Rd, Voorhees, NJ 08043 Phone: 856-772-1617 Fax: 856-229-7850 | |
Ryan D Walker, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Drive, Suite D-285, Voorhees, NJ 08043 Phone: 856-602-4000 Fax: 856-842-5109 | |
Dr. Emilio A. Roncace, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1307 White Horse Rd, Bldg A, Voorhees, NJ 08043 Phone: 856-346-0200 Fax: 856-309-8192 | |
Dr. Samir V Shah, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste D285, Voorhees, NJ 08043 Phone: 856-602-4000 Fax: 856-210-2849 |