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1701 Wynwood Dr Cinnaminson NJ 08077-3033 | |
| (856) 829-4755 | |
| (856) 786-0505 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Wynwood Dr, Cinnaminson, New Jersey |
| Authorized Official Name and Position | Steven Fox (PRESIDENT) |
| Authorized Official Contact | 8567969200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 Ph: (856) 796-9200 | 1701 Wynwood Dr Cinnaminson NJ 08077-3033 Ph: (856) 829-4755 |
| NPI Number | 1740664820 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740664820 | NPI | - | NPPES |
| 6535704 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB0447600 (New Jersey) | Primary |
Wikare Health Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Route 130 S, Madison Bldge, Ste 308, Cinnaminson, NJ 08077 Phone: 856-389-5579 | |
Cinnaminson Family Practice Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Wynwood Drive, Cinnaminson, NJ 08077 Phone: 856-829-4755 Fax: 856-786-0505 |