Zachary Thomas Wilt, MD | |
2500 English Creek Ave Bldg 1300, Egg Harbor Twp, NJ 08234-5549 | |
(800) 321-9999 | |
(267) 479-1321 |
Full Name | Zachary Thomas Wilt |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2500 English Creek Ave Bldg 1300, Egg Harbor Twp, 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 |
---|---|---|---|
1417488628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD479951 (Pennsylvania) | Secondary |
207X00000X | Orthopaedic Surgery | 25MA11723400 (New Jersey) | Primary |
Entity Name | Reconstructive Orthopaedic Associates Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861433278 PECOS PAC ID: 7416845318 Enrollment ID: O20040310000667 |
Mailing Address | Practice Location Address |
---|---|
Zachary Thomas Wilt, MD 833 Chestnut St Ste 520, Philadelphia, PA 19107-4430 Ph: (267) 339-7843 | Zachary Thomas Wilt, MD 2500 English Creek Ave Bldg 1300, Egg Harbor Twp, NJ 08234-5549 Ph: (800) 321-9999 |
Bryan Hozack, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 English Creek Ave Ste 1300, Egg Harbor Twp, NJ 08234 Phone: 800-321-9999 Fax: 267-479-1321 | |
Hope Skibicki Thalody, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2500 English Creek Ave, Bldg 1300, Egg Harbor Twp, NJ 08234 Phone: 800-321-9999 Fax: 267-479-1321 |