Nicole Tomkowich, DO | |
175 Madison Ave, Mount Holly, NJ 08060-2099 | |
(609) 914-6000 | |
Not Available |
Full Name | Nicole Tomkowich |
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Gender | Female |
Speciality | Anesthesiology |
Location | 175 Madison Ave, Mount Holly, 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 |
---|---|---|---|
1003476813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MB11809000 (New Jersey) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | OT019399 (Pennsylvania) | Secondary |
Entity Name | Virtua Medical Group, Pa |
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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 |
---|---|
Nicole Tomkowich, DO 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Nicole Tomkowich, DO 175 Madison Ave, Mount Holly, NJ 08060-2099 Ph: (609) 914-6000 |
Dr. Sergey Moldavskiy, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave Fl 1, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Sarah F Campbell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave Fl 1, Mount Holly, NJ 08060 Phone: 609-914-6000 | |
Rupal Kalariya, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 Madison Ave, Suite E, Mount Holly, NJ 08060 Phone: 609-267-0700 | |
Dr. Robin T Thornton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 120 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1160 | |
Dr. John Lochiel Panico, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-267-0700 Fax: 609-261-4801 | |
Dr. Albert N Ferrari, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 120 Madison Ave, Mount Holly, NJ 08060 Phone: 609-261-1160 |