Lawrence Segal, DO | |
218a Sunset Rd, Willingboro, NJ 08046-1110 | |
(609) 835-3030 | |
(609) 835-3063 |
Full Name | Lawrence Segal |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 218a Sunset Rd, Willingboro, 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 |
---|---|---|---|
1659311215 | NPI | - | NPPES |
8169608 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MB68502 (New Jersey) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Entity Name | The Bortolazzo Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
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Lawrence Segal, DO 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4300 | Lawrence Segal, DO 218a Sunset Rd, Willingboro, NJ 08046-1110 Ph: (609) 835-3030 |
Ben Tapper, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 218a Sunset Rd, Willingboro, NJ 08046 Phone: 609-835-3030 Fax: 609-835-3063 | |
Richard John Britton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 218 Sunset Rd # A, Willingboro, NJ 08046 Phone: 609-835-3030 Fax: 609-835-3063 | |
Dr. Ibrahim Abdullah, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 218 Sunset Rd, Willingboro, NJ 08046 Phone: 609-835-3030 | |
Dr. Nathaniel Rutherford Evans Ii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Beverly Rancocas Rd, Willingboro, NJ 08046 Phone: 609-835-9555 Fax: 609-835-2313 |