| Optimo Physician Associates | |
|
438 Ganttown Rd Suite B-1 Sewell NJ 08080-2341 | |
| (609) 744-4555 | |
| (856) 258-4557 |
| Full Name | Optimo Physician Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 438 Ganttown Rd, Sewell, New Jersey |
| Authorized Official Name and Position | Joseph Anthony Libby (OWNER) |
| Authorized Official Contact | 6097444555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimo Physician Associates 438 Ganttown Rd Suite B-1 Sewell NJ 08080-2341 Ph: (609) 744-4555 | Optimo Physician Associates 438 Ganttown Rd Suite B-1 Sewell NJ 08080-2341 Ph: (609) 744-4555 |
| NPI Number | 1619294170 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619294170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05828000 (New Jersey) | Primary |
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