| Thomas J Marzili Md Llc | |
|
128 Route 70 Suite 13 Medford NJ 08055-2371 | |
| (609) 451-2020 | |
| (609) 451-2021 |
| Full Name | Thomas J Marzili Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 Route 70, Medford, New Jersey |
| Authorized Official Name and Position | Thomas James Marzili (OWNER) |
| Authorized Official Contact | 6097443437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Marzili Md Llc 128 Route 70 Suite 13 Medford NJ 08055-2371 Ph: (609) 451-2020 | Thomas J Marzili Md Llc 128 Route 70 Suite 13 Medford NJ 08055-2371 Ph: (609) 451-2020 |
| NPI Number | 1801131412 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 04/21/2013 |
| Medicare PECOS PAC ID | 6103061403 |
|---|---|
| Medicare Enrollment ID | O20130314000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801131412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA05637000 (New Jersey) | Primary |
| Provider Name | Thomas J Marzili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952325334 PECOS PAC ID: 0042116352 Enrollment ID: I20110201000482 |
| Provider Name | Donna M Schultice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710403969 PECOS PAC ID: 1658638655 Enrollment ID: I20171129002410 |
| Provider Name | Jenna Pietrucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386369130 PECOS PAC ID: 7416323126 Enrollment ID: I20221021000058 |
| Provider Name | Juliana Ferraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346903960 PECOS PAC ID: 8729459888 Enrollment ID: I20230127001138 |
| Provider Name | Mindy Noel Subbiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760179659 PECOS PAC ID: 2769848076 Enrollment ID: I20240430002567 |
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