| Dmm Medical Consulting Group Llc | |
|
4551 Route 42 Ste 3 Turnersville NJ 08012-1751 | |
| (609) 337-2211 | |
| (609) 543-2433 |
| Full Name | Dmm Medical Consulting Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4551 Route 42 Ste 3, Turnersville, New Jersey |
| Authorized Official Name and Position | Donna Mazyck (OWNER/PROVIDER) |
| Authorized Official Contact | 6098470538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmm Medical Consulting Group Llc 212 N Arthur Dr Edgewater Park NJ 08010-2102 Ph: (609) 847-0538 | Dmm Medical Consulting Group Llc 4551 Route 42 Ste 3 Turnersville NJ 08012-1751 Ph: (609) 337-2211 |
| NPI Number | 1174130835 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 6709291065 |
|---|---|
| Medicare Enrollment ID | O20210218000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174130835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Donna Michele Mazyck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316306269 PECOS PAC ID: 7517263908 Enrollment ID: I20180420001633 |
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