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NPI Code Detail

MEDICARE: HOMEVISIT PHYSICIANS,P.C.

MEDICARE: HOMEVISIT PHYSICIANS,P.C.
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
1207R00000XInternal Medicine PhysicianMB057841NJ

General Provider Information

NPI Number : 1518028893
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMEVISIT PHYSICIANS,P.C.
Provider Business Mailing Address
First Line : 282 CHESTER AVE
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-3306
Country : US
Telephone Number : 856-222-3292
Fax Number : 856-222-3293
Provider Business Practice Location Address
First Line : 282 CHESTER AVE
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-3306
Country : US
Telephone Number : 856-222-3292
Fax Number : 856-222-3293
Authorized Official
Title or Position : MANAGER
Name : COLETTE GIACOBBO
Credential :
Telephone Number : 856-222-3292
Provider Enumeration Date : 12/12/2006
Last Update Date : 05/09/2013

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Directions to “HOMEVISIT PHYSICIANS,P.C. ” Practice Location

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