Dr Michael B Marchildon, MD | |
Virtua And Dupont Childrens Health Program, 1000 White Horse Road Suite 204, Voorhees, NJ 08043-4406 | |
(856) 309-8508 | |
(856) 309-8556 |
Full Name | Dr Michael B Marchildon |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | Virtua And Dupont Childrens Health Program, 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 |
---|---|---|---|
1447340179 | NPI | - | NPPES |
3716708 | Medicaid | NJ | |
4881036 | Medicaid | MD | |
1176902 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | MA03903300 (New Jersey) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
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Dr Michael B Marchildon, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Michael B Marchildon, MD Virtua And Dupont Childrens Health Program, 1000 White Horse Road Suite 204, Voorhees, NJ 08043-4406 Ph: (856) 309-8508 |
Charles Butler, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 502 Centennial Blvd, Suite 7, Voorhees, NJ 08043 Phone: 856-596-7440 Fax: 856-596-6723 | |
Nicole Melchior, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E300, Voorhees, NJ 08043 Phone: 856-247-7515 | |
Blair Hermansky, CORT Surgery Medicare: Not Enrolled in Medicare Practice Location: 1307 White Horse Rd Ste C501, Voorhees, NJ 08043 Phone: 856-784-2659 | |
Robert Minor, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Carnie Blvd, Suite 4, Voorhees, NJ 08043 Phone: 856-596-7440 Fax: 856-751-3320 | |
Alexandra Chudner, Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E355, Voorhees, NJ 08043 Phone: 856-247-7210 Fax: 856-247-7511 | |
Edwin Empaynado, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 502 Centennial Blvd, Suite 5, Voorhees, NJ 08043 Phone: 856-429-8030 Fax: 856-428-2718 |