Richard D Lackman, MD | |
3 Cooper Plz, Suite 400, Camden, NJ 08103-1438 | |
(856) 361-1754 | |
(856) 361-1761 |
Full Name | Richard D Lackman |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 3 Cooper Plz, Camden, 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 |
---|---|---|---|
1538197090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD021140E (Pennsylvania) | Secondary |
207X00000X | Orthopaedic Surgery | 25MA09110900 (New Jersey) | Primary |
Entity Name | Cooper Surgical Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427177195 PECOS PAC ID: 3274430764 Enrollment ID: O20031213000037 |
Mailing Address | Practice Location Address |
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Richard D Lackman, MD 1 Federal St # 100, Camden, NJ 08103-1088 Ph: (856) 356-4924 | Richard D Lackman, MD 3 Cooper Plz, Suite 400, Camden, NJ 08103-1438 Ph: (856) 361-1754 |
Dr. Henry Joseph Dolch Jr., D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz Rm 403, Camden, NJ 08103 Phone: 856-342-2439 | |
James Mckenzie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz Rm 403, Camden, NJ 08103 Phone: 856-342-2439 | |
David H. Clements, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plaza, Suite 408, Camden, NJ 08103 Phone: 856-968-7845 Fax: 856-968-8288 | |
Dr. Stuart L Gordon, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz, Suite 502, Camden, NJ 08103 Phone: 856-968-7433 Fax: 856-968-8499 | |
Dr. Matthew Theys Kleiner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz Rm 104, Camden, NJ 08103 Phone: 856-968-6895 | |
Andrew Simon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3113 | |
Michael J Kimball, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3159 |