Amita Talati Md Llc | |
2301 E Evesham Rd Voorhees NJ 08043-4501 | |
(856) 770-1300 | |
Not Available |
Full Name | Amita Talati Md Llc |
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Speciality | Psychiatry & Neurology |
Location | 2301 E Evesham Rd, Voorhees, New Jersey |
Authorized Official Name and Position | Amita Talati (OWNER) |
Authorized Official Contact | 8567701300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amita Talati Md Llc 2301 E Evesham Rd Voorhees NJ 08043-4501 Ph: (856) 770-1300 | Amita Talati Md Llc 2301 E Evesham Rd Voorhees NJ 08043-4501 Ph: (856) 770-1300 |
NPI Number | 1144673609 |
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Provider Enumeration Date | 07/20/2016 |
Last Update Date | 07/20/2016 |
Medicare PECOS PAC ID | 0840558334 |
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Medicare Enrollment ID | O20171209000134 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144673609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA04739500 (New Jersey) | Primary |
Provider Name | April Stone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306380613 PECOS PAC ID: 7416221957 Enrollment ID: I20170921001008 |
Provider Name | Amita Naresh Talati |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306911979 PECOS PAC ID: 9931361086 Enrollment ID: I20180423001110 |
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