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NPI Code Detail

MEDICARE: ACCENT HEAD AND NECK GROUP, PA

MEDICARE: ACCENT HEAD AND NECK GROUP, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CH5347OTHERNJRAILROAD MEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22397210OTHERNJAETNA HMO GROUP #
35826793OTHERNJAETNA PPO GROUP #
40132139000OTHERNJAMERIHEALTH GROUP #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447205414
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCENT HEAD AND NECK GROUP, PA
Provider Business Mailing Address
First Line : 2021 NEW RD STE 1
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1045
Country : US
Telephone Number : 609-926-5556
Fax Number : 609-926-5355
Provider Business Practice Location Address
First Line : 2021 NEW RD STE 1
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1045
Country : US
Telephone Number : 609-926-5556
Fax Number : 609-926-5355
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : NICOLA A DELORIO
Credential :
Telephone Number : 609-926-5556
Provider Enumeration Date : 05/24/2006
Last Update Date : 09/24/2020

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