| Elmwood Family Physicians | |
|
777 Route 70 East Suite G-101 Marlton NJ 08053-2345 | |
| (856) 983-9939 | |
| (856) 983-9936 |
| Full Name | Elmwood Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 777 Route 70 East, Marlton, New Jersey |
| Authorized Official Name and Position | Hetal S Shah (OWNER/M.D.) |
| Authorized Official Contact | 8569839939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Family Physicians 777 Route 70 East Suite G-101 Marlton NJ 08053-2345 Ph: (856) 983-9939 | Elmwood Family Physicians 777 Route 70 East Suite G-101 Marlton NJ 08053-2345 Ph: (856) 983-9939 |
| NPI Number | 1578640538 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 12/01/2014 |
| Medicare PECOS PAC ID | 6103883657 |
|---|---|
| Medicare Enrollment ID | O20041216000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578640538 | NPI | - | NPPES |
| 0045021 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (New Jersey) | Secondary |
| Provider Name | Hetal S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497784094 PECOS PAC ID: 1759354020 Enrollment ID: I20040816000355 |
| Provider Name | Parag S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689751646 PECOS PAC ID: 7810960192 Enrollment ID: I20040816000376 |
| Provider Name | Jay D Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639256696 PECOS PAC ID: 2567429012 Enrollment ID: I20041230000188 |
| Provider Name | Alicemarie Poyss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568580595 PECOS PAC ID: 9537115886 Enrollment ID: I20050330000009 |
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Delaware Valley Gastroenterology Associates Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Lippincott Dr, Suite E, Marlton, NJ 08053 Phone: 856-983-1900 Fax: 856-983-5110 | |
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