Family Care Associates P A | |
6705 Park Ave Pennsauken NJ 08109 | |
(856) 662-0017 | |
Not Available |
Full Name | Family Care Associates P A |
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Speciality | Family Medicine |
Location | 6705 Park Ave, Pennsauken, New Jersey |
Authorized Official Name and Position | Julia A Rosati (OFFICE MANAGER) |
Authorized Official Contact | 8566620017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Associates P A 6705 Park Ave Pennsauken NJ 08109 Ph: (856) 662-0017 | Family Care Associates P A 6705 Park Ave Pennsauken NJ 08109 Ph: (856) 662-0017 |
NPI Number | 1801836184 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 08/19/2014 |
Medicare PECOS PAC ID | 9335181098 |
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Medicare Enrollment ID | O20050524000473 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801836184 | NPI | - | NPPES |
8014701 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mark Ricigliano |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366482630 PECOS PAC ID: 3678533148 Enrollment ID: I20100129000608 |
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