| Agape Medical Center | |
|
525 Route 73 S Ste 106 Marlton NJ 08053-9631 | |
| (856) 507-9320 | |
| (856) 507-9327 |
| Full Name | Agape Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 525 Route 73 S Ste 106, Marlton, New Jersey |
| Authorized Official Name and Position | Timothy Lamar Rhyme (MEMBER) |
| Authorized Official Contact | 8565079320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Medical Center 525 Route 73 S Ste 106 Marlton NJ 08053-9631 Ph: (856) 507-9320 | Agape Medical Center 525 Route 73 S Ste 106 Marlton NJ 08053-9631 Ph: (856) 507-9320 |
| NPI Number | 1629007943 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 2466456744 |
|---|---|
| Medicare Enrollment ID | O20060828000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629007943 | NPI | - | NPPES |
| RH7112009 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MAO61190 (New Jersey) | Primary |
| Provider Name | Timothy L Rhyme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992734974 PECOS PAC ID: 6002810389 Enrollment ID: I20060828000534 |
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