Dr Thomas C Licata, DO | |
18 E Laurel Rd, Stratford, NJ 08084-1327 | |
(856) 566-7121 | |
Not Available |
Full Name | Dr Thomas C Licata |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 18 Years |
Location | 18 E Laurel Rd, Stratford, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811193253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MB08708700 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Atlanticare Regional Medical Center | Atlantic city, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlantic Emergency Associates Pa | 1153354170 | 46 |
Atlantic Emergency Associates - Hammonton Sed Llc | 9133273329 | 7 |
Entity Name | Atlanticare Physician Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Entity Name | Atlantic Emergency Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124112768 PECOS PAC ID: 1153354170 Enrollment ID: O20050912000320 |
Entity Name | Atlantic Emergency Associates - Hammonton Sed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427285709 PECOS PAC ID: 9133273329 Enrollment ID: O20090824000019 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas C Licata, DO 18 E Laurel Rd, Stratford, NJ 08084-1327 Ph: (856) 566-7121 | Dr Thomas C Licata, DO 18 E Laurel Rd, Stratford, NJ 08084-1327 Ph: (856) 566-7121 |
Dr. Alan Nicolo Lucerna, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-566-6859 | |
Dr. Eric Kyle Dichter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Stratford, NJ 08084 Phone: 856-566-7050 | |
Dr. Kevin Thomas Dwyer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Stratford, NJ 08084 Phone: 856-346-7985 Fax: 856-346-6573 | |
Dr. Robert John Horn, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: One Medical Center Drive, Umdnj-som, Stratford, NJ 08084 Phone: 856-566-6708 | |
Dr. Razwana Wahdat, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 856-346-7985 | |
Daniel Thomas Ellis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 Laurel Rd E, Stratford, NJ 08084 Phone: 856-346-7816 Fax: 856-346-6385 | |
Dr. Charles H. Nolte, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18 E Laurel Rd, Department Of Emergency Medicine, Stratford, NJ 08084 Phone: 856-346-1985 Fax: 856-346-6573 |