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NPI Code Detail

MEDICARE: VICTORIA HASTINGS-SCHMIDT P.A.-C

MEDICARE:   VICTORIA  HASTINGS-SCHMIDT  P.A.-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
1363A00000XPhysician Assistant25MP00100500NJ

General Provider Information

NPI Number : 1821202250
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA HASTINGS-SCHMIDT P.A.-C
Provider Business Mailing Address
First Line : 1050 MANTUA PIKE
Second Line : SUITE 200
City : WENONAH
State : NJ
Zip : 08090-1141
Country : US
Telephone Number : 856-853-0848
Fax Number : 856-853-1889
Provider Business Practice Location Address
First Line : 1050 MANTUA PIKE
Second Line : SUITE 200
City : WENONAH
State : NJ
Zip : 08090-1141
Country : US
Telephone Number : 856-853-0848
Fax Number : 856-853-1889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 06/24/2013

Similar Medicare Providers

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Practice Location Address:
1050 MANTUA PIKE
WENONAH, NJ
08090-1141
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Practice Fax:
1205912144 — DR. BENJAMIN GEORGE PIANTEDOSI M.D.
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1407995558 — MRS. ALYCIA LEIGH BISCHOF APN,C
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1073700639 — ELIZA WHITE RN, CPNP
Practice Location Address:
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1336432244 — ADVOCARE, LLC
Practice Location Address:
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1467707448 — ROBIN KEISHA LYNCH-VARELA APN-CPNP
Practice Location Address:
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08090-1141
Practice Phone: 856-853-0848
Practice Fax: 856-853-1889

Directions to “ VICTORIA HASTINGS-SCHMIDT P.A.-C” Practice Location

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