Dr Stephen Charles Licetti, DO | |
34 Scotch Rd Ste 1, Ewing, NJ 08628-2528 | |
(609) 498-7670 | |
(609) 385-4150 |
Full Name | Dr Stephen Charles Licetti |
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Gender | Male |
Speciality | Family Medicine |
Location | 34 Scotch Rd Ste 1, Ewing, 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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1558508192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 25MB08833000 (New Jersey) | Primary |
Entity Name | Hunterdon Family Physicians Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306875273 PECOS PAC ID: 8729984257 Enrollment ID: O20031208000401 |
Mailing Address | Practice Location Address |
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Dr Stephen Charles Licetti, DO 210 Yorktown Plz, Elkins Park, PA 19027-1424 Ph: () - | Dr Stephen Charles Licetti, DO 34 Scotch Rd Ste 1, Ewing, NJ 08628-2528 Ph: (609) 498-7670 |
Dr. Tara Hungspruke Vanhise, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 Parkway Ave, Suite 203, Ewing, NJ 08628 Phone: 609-883-5454 Fax: 609-883-2565 | |
Dr. Kashif Syed Anwar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Parkside Ave Ste 5, Ewing, NJ 08638 Phone: 609-303-4430 Fax: 609-303-4431 | |
Daniel K Jass, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 Scotch Rd, Ewing, NJ 08628 Phone: 609-883-5454 Fax: 609-883-2565 | |
Dr. Sirajuddin Sheikh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1440 Pennington Rd, Suite 1, Ewing, NJ 08618 Phone: 609-890-1050 Fax: 609-890-0950 | |
Meriam Khan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 51 Scotch Rd, Ewing, NJ 08628 Phone: 609-883-5454 Fax: 609-883-2565 | |
William E Mcelmoyle, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 Scotch Rd, Ewing, NJ 08628 Phone: 609-883-5454 Fax: 609-883-2565 | |
Anne B Whalen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 Scotch Rd, Ewing, NJ 08628 Phone: 609-883-5454 |