Tiffany Fearon, | |
3110 Route 38, Mount Laurel, NJ 08054-9724 | |
(866) 389-2727 | |
Not Available |
Full Name | Tiffany Fearon |
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Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 3110 Route 38, Mount Laurel, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164846325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00481400 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Diagnostic Of New Jersey Llc | 8527142439 | 110 |
Entity Name | Minuteclinic Diagnostic Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382 |
Entity Name | Central Jersey Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316285091 PECOS PAC ID: 7618114323 Enrollment ID: O20130516000050 |
Mailing Address | Practice Location Address |
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Tiffany Fearon, 3110 Route 38, Mount Laurel, NJ 08054-9724 Ph: () - | Tiffany Fearon, 3110 Route 38, Mount Laurel, NJ 08054-9724 Ph: (866) 389-2727 |
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