Robert Parcon Ticzon, | |
601 Plymouth Rd, Hillside, NJ 07205-2527 | |
(908) 425-1108 | |
Not Available |
Full Name | Robert Parcon Ticzon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 601 Plymouth Rd, Hillside, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184970329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 033797 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Queens Medical Pavilion,llc | 0345484978 | 5 |
Provider Name | Queens Medical Pavilion,llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124384136 PECOS PAC ID: 0345484978 Enrollment ID: O20130920000024 |
Mailing Address | Practice Location Address |
---|---|
Robert Parcon Ticzon, 601 Plymouth Rd, Hillside, NJ 07205-2527 Ph: (908) 425-1108 | Robert Parcon Ticzon, 601 Plymouth Rd, Hillside, NJ 07205-2527 Ph: (908) 425-1108 |
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