Delaware Valley Primary Car And Occupational Medicine | |
234 W Landis Ave Suite 100 Vineland NJ 08360-8109 | |
(856) 696-0669 | |
Not Available |
Full Name | Delaware Valley Primary Car And Occupational Medicine |
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Speciality | Family Medicine |
Location | 234 W Landis Ave, Vineland, New Jersey |
Authorized Official Name and Position | Martin Jay Kessler (OWNER PHYSICIAN) |
Authorized Official Contact | 8566960669 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Delaware Valley Primary Car And Occupational Medicine 234 W Landis Ave Suite 100 Vineland NJ 08360-8109 Ph: (856) 696-0669 | Delaware Valley Primary Car And Occupational Medicine 234 W Landis Ave Suite 100 Vineland NJ 08360-8109 Ph: (856) 696-0669 |
NPI Number | 1548310774 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5991737108 |
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Medicare Enrollment ID | O20050908000948 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548310774 | NPI | - | NPPES |
0022654000 | Other | AMERIHEALTH | |
1001812 | Other | CIGNA | |
19827 | Other | UNIVERSITY HEALTH PLAN | |
F11051 | Other | FIRST OPTION | |
FIRST HEALTH | Other | 1040578 | |
UNITED HEALTHCARE | Other | 89990 | |
6447601 | Medicaid | NJ | |
8223340 | Other | GHI | |
132049 | Other | NJ | HORIZON BC BS |
2657461 | Other | AETNA | |
0K7286 | Other | HEALTH NET | |
36924 | Other | AMERIGROUP | |
JP141 | Other | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA06177300 (New Jersey) | Primary |
Provider Name | Martin J Kessler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164446472 PECOS PAC ID: 9537191648 Enrollment ID: I20050914000411 |
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