| Regional Healthcare Associates | |
|
5201 Route 38 West Unit 115 Pennsauken NJ 08109-4811 | |
| (856) 438-5166 | |
| Not Available |
| Full Name | Regional Healthcare Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 5201 Route 38 West, Pennsauken, New Jersey |
| Authorized Official Name and Position | George Nghiem (ATTENDING) |
| Authorized Official Contact | 8564385166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Healthcare Associates 5201 Route 38 West Unit 115 Pennsauken NJ 08109-4811 Ph: (856) 438-5166 | Regional Healthcare Associates 5201 Route 38 West Unit 115 Pennsauken NJ 08109-4811 Ph: (856) 438-5166 |
| NPI Number | 1356580625 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 10/03/2013 |
| Medicare PECOS PAC ID | 3375691934 |
|---|---|
| Medicare Enrollment ID | O20090508000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356580625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MB06222400 (New Jersey) | Primary |
| Provider Name | George Nghiem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245263771 PECOS PAC ID: 5395644397 Enrollment ID: I20040224000005 |
| Provider Name | Thuyanh N Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669745352 PECOS PAC ID: 5092970517 Enrollment ID: I20120709000539 |
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