Mark Stephen Liccini, DO | |
93 Cooper Rd Ste 100, Voorhees, NJ 08043-4910 | |
(856) 770-1920 | |
(856) 770-1925 |
Full Name | Mark Stephen Liccini |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 25 Years |
Location | 93 Cooper Rd Ste 100, Voorhees, 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 |
---|---|---|---|
1861562779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MB 07743500 (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 |
---|---|---|
Atlanticare Regional Medical Center | 0648181578 | 86 |
South Jersey Gastroenterology, Pa | 5890885586 | 2 |
Entity Name | Atlanticare Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710930102 PECOS PAC ID: 0648181578 Enrollment ID: O20040212000251 |
Entity Name | South Jersey Gastroenterology, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356514335 PECOS PAC ID: 5890885586 Enrollment ID: O20071219000019 |
Entity Name | Virtua Medical Group, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
---|---|
Mark Stephen Liccini, DO 31 Wimbledon Way, Marlton, NJ 08053-2087 Ph: (215) 205-4231 | Mark Stephen Liccini, DO 93 Cooper Rd Ste 100, Voorhees, NJ 08043-4910 Ph: (856) 770-1920 |
Dr. David P Avella, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Fl 2, Voorhees, NJ 08043 Phone: 856-988-6260 | |
Hommat Hommadov, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Bowman Dr Fl 1, Voorhees, NJ 08043 Phone: 856-988-6260 | |
Athena Christakos, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Bowman Dr Fl 2, Voorhees, NJ 08043 Phone: 856-988-6260 | |
Dr. Todd G Hermann, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Fl 2, Voorhees, NJ 08043 Phone: 856-988-6260 | |
Nicholas Samuel Gubitosi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Fl 2, Voorhees, NJ 08043 Phone: 856-988-6260 | |
Dr. Cara Ann Riley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4 Fawnwood Dr, Voorhees, NJ 08043 Phone: 609-841-3049 | |
Dr. Sajad Bilgrami, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Fl 2, Voorhees, NJ 08043 Phone: 856-988-6260 |