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309 Bridgeboro Road Moorestown NJ 08057 | |
(410) 778-7300 | |
(410) 778-0053 |
Full Name | |
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Speciality | Internal Medicine |
Location | 309 Bridgeboro Road, Moorestown, New Jersey |
Authorized Official Name and Position | Susan Ahern (SVP, CFO) |
Authorized Official Contact | 2156618330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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420 Delaware Dr Ft Washington PA 19034-2711 Ph: (267) 787-4097 | 309 Bridgeboro Road Moorestown NJ 08057 Ph: (410) 778-7300 |
NPI Number | 1801363544 |
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Provider Enumeration Date | 10/31/2018 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 5092032284 |
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Medicare Enrollment ID | O20230227000078 |
Identifier | Type | State | Issuer |
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1801363544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Heather Vetter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023527090 PECOS PAC ID: 4880952191 Enrollment ID: I20240828005109 |
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