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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
1174400000XSpecialist25MB06497500NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CH5347OTHERNJRAILROAD MEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12397210OTHERNJAETNA HMO#
30132139000OTHERNYAMERIHEALTH GROUP #
45826793OTHERNYAETNA PPO#

General Provider Information

NPI Number : 1588740245
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCENT HEAD AND NECK GROUP, PA
Provider Business Mailing Address
First Line : 2021 NEW RD
Second Line : SUITE 1
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
Second Line : SUITE 1
City : LINWOOD
State : NJ
Zip : 08221-1045
Country : US
Telephone Number : 609-926-5556
Fax Number : 609-926-5355
Authorized Official
Title or Position : DELEGATED OFFICIAL
Name : NICOLA DELORIO
Credential : D.O.
Telephone Number : 609-926-5556
Provider Enumeration Date : 10/27/2006
Last Update Date : 08/22/2020

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