| Meetinghouse Family Physicians Pa | |
|
105 Evesboro Medford Rd Ste I Marlton NJ 08053-3865 | |
| (856) 596-9050 | |
| (856) 596-0320 |
| Full Name | Meetinghouse Family Physicians Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Evesboro Medford Rd Ste I, Marlton, New Jersey |
| Authorized Official Name and Position | Paula Tonzello (OFFICE MANAGER) |
| Authorized Official Contact | 8565969050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meetinghouse Family Physicians Pa 105 Evesboro Medford Rd Ste I Marlton NJ 08053-3865 Ph: (856) 596-9050 | Meetinghouse Family Physicians Pa 105 Evesboro Medford Rd Ste I Marlton NJ 08053-3865 Ph: (856) 596-9050 |
| NPI Number | 1861590978 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/28/2024 |
| Medicare PECOS PAC ID | 0547368458 |
|---|---|
| Medicare Enrollment ID | O20070530000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861590978 | NPI | - | NPPES |
| 10004 | Other | AETNA | |
| 0837097001 | Other | AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA0368900 (New Jersey) | Primary |
| Provider Name | Ronaldo C. Deguzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659478212 PECOS PAC ID: 3274633573 Enrollment ID: I20110125000032 |
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