| Rowansom Dept Of General Internal Medicine | |
|
42 Laurel Rd E Udp, Suite 3100 Stratford NJ 08084-1354 | |
| (856) 566-6845 | |
| (856) 566-6342 |
| Full Name | Rowansom Dept Of General Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 42 Laurel Rd E, Stratford, New Jersey |
| Authorized Official Name and Position | Michael Rieker (INTERIM CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8567705729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowansom Dept Of General Internal Medicine Po Box 635 Bellmawr NJ 08099-0635 Ph: (856) 770-5772 | Rowansom Dept Of General Internal Medicine 42 Laurel Rd E Udp, Suite 3100 Stratford NJ 08084-1354 Ph: (856) 566-6845 |
| NPI Number | 1619957941 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 05/03/2013 |
| Medicare PECOS PAC ID | 5991699324 |
|---|---|
| Medicare Enrollment ID | O20040406000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619957941 | NPI | - | NPPES |
| CN4488 | Other | NJ | RR MEDICARE |
| 3152707 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Judith Anne Lightfoot |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922046630 PECOS PAC ID: 9830121771 Enrollment ID: I20050831000525 |
| Provider Name | Joanne Kaiser Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750361838 PECOS PAC ID: 8820023419 Enrollment ID: I20051003000468 |
| Provider Name | Suzanne H Shenk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447352364 PECOS PAC ID: 6406925932 Enrollment ID: I20080523000003 |
| Provider Name | Edward A Skobac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285607671 PECOS PAC ID: 7214072958 Enrollment ID: I20100304000970 |
| Provider Name | Ashley J Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306009709 PECOS PAC ID: 1557499225 Enrollment ID: I20100518000046 |
| Provider Name | Jennifer M. Lecomte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104950732 PECOS PAC ID: 7618154808 Enrollment ID: I20170814002927 |
Destyoncall Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 Yale Ave, Suite D, Stratford, NJ 08084 Phone: 856-627-6101 Fax: 856-627-6103 | |
Kennedy Medical Group Practice, P.c. D/b/a Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 E Laurel Rd, Stratford, NJ 08084 Phone: 856-783-2244 Fax: 856-783-8537 | |
Rowansom Nmi Headache Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 E Laurel Rd, Udp #1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 | |
Goldis Geriatrics P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 E Laurel Rd, Stratford, NJ 08084 Phone: 856-346-3469 Fax: 856-346-9456 | |
Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Laurel Rd, 1st Floor, Stratford, NJ 08084 Phone: 856-783-0870 Fax: 856-783-0649 | |
Kennedy Medical Group Practice, P.c. D/b/a Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Laurel Rd, 2nd Floor, Stratford, NJ 08084 Phone: 856-783-1987 | |
Rowansom Dept Of Infectious Disease Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42 E Laurel Rd Ste 3100, Stratford, NJ 08084 Phone: 856-566-7002 |