Mr Charles Edrick Ong Chua, | |
693 Main Street, Building D Suite 1, Lumberton, NJ 08048 | |
(609) 261-4058 | |
Not Available |
Full Name | Mr Charles Edrick Ong Chua |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 693 Main Street, Lumberton, 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 |
---|---|---|---|
1609339480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA11514500 (New Jersey) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Advocare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Edrick Ong Chua, 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: () - | Mr Charles Edrick Ong Chua, 693 Main Street, Building D Suite 1, Lumberton, NJ 08048 Ph: (609) 261-4058 |
Dr. Thomas O'donnell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 693 Main St, Amherst Commons, Suite D, Lumberton, NJ 08048 Phone: 609-261-4058 Fax: 609-261-8381 | |
Dr. Karen Kaighn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 693 Main St, Lumberton, NJ 08048 Phone: 609-261-9587 Fax: 609-261-8381 | |
Dr. Richard King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 693 Main St, Lumberton, NJ 08048 Phone: 609-261-4058 Fax: 609-261-8381 | |
Dr. Melissa Doyle Labroli, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 693 Main St Bldg 3, Lumberton, NJ 08048 Phone: 609-261-4058 Fax: 609-261-8381 | |
Dr. Marius Wechsler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 693 Main St, Lumberton, NJ 08048 Phone: 609-261-4058 Fax: 609-261-8381 |