| Theresa A. Bell, Md Llc | |
|
310 Chris Gaupp Dr. Ste 105 Galloway NJ 08205-4461 | |
| (609) 652-4040 | |
| (609) 652-5340 |
| Full Name | Theresa A. Bell, Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 310 Chris Gaupp Dr., Galloway, New Jersey |
| Authorized Official Name and Position | Theresa A. Bell (M.D) |
| Authorized Official Contact | 6096524040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa A. Bell, Md Llc 310 Chris Gaupp Dr Suite 105 Galloway NJ 08205-4461 Ph: (609) 652-4040 | Theresa A. Bell, Md Llc 310 Chris Gaupp Dr. Ste 105 Galloway NJ 08205-4461 Ph: (609) 652-4040 |
| NPI Number | 1669677530 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 11/08/2011 |
| Medicare PECOS PAC ID | 4688775661 |
|---|---|
| Medicare Enrollment ID | O20070720000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669677530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA06145900 (New Jersey) | Primary |
| Provider Name | Theresa A Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013002369 PECOS PAC ID: 6901860923 Enrollment ID: I20041118000403 |
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