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General NPI Number Information
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NPI Number | 1376921460
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Entity Type | Organization
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Legal Business Name | MEDCORPS ASTHMA AND PULMONARY SPECIALISTS LLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 100 KINGS WAY E STE D1
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City | SEWELL
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State | NJ
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Zip | 08080-2238
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Country | US
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Telephone | 856-352-6572
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Fax | 856-352-6710
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Provider Business Mailing Address
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Address Line | 1504 COOPER ST
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City | DEPTFORD
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State | NJ
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Zip | 08096-3767
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Country | US
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Telephone | 856-981-1493
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ALLEN LEWIS SILVEY JR.
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Credential | D.O.
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Telephone | 856-981-1493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 25MB09005300
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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