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NPI Code Detail

MEDICARE: SICKLERVILLE INTERNAL MEDICINE

MEDICARE: SICKLERVILLE INTERNAL MEDICINE
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
1261QP2300XPrimary Care Clinic/CenterMA61324NJ

General Provider Information

NPI Number : 1154483238
Entity Type Code : Organization
Provider Name (Legal Business Name) : SICKLERVILLE INTERNAL MEDICINE
Provider Business Mailing Address
First Line : 485 WILLIAMSTOWN RD
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-1777
Country : US
Telephone Number : 856-237-8100
Fax Number : 856-237-8042
Provider Business Practice Location Address
First Line : 485 WILLIAMSTOWN RD
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-1777
Country : US
Telephone Number : 856-237-8100
Fax Number : 856-237-8042
Authorized Official
Title or Position : BUSINESS MGR
Name : MS. VICKI L NEWELL
Credential :
Telephone Number : 856-237-8100
Provider Enumeration Date : 12/14/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1083694913 — MRS. ELAINE GAIL LANGE R.N, A.P.N.
Practice Location Address:
485 WILLIAMSTOWN RD
SICKLERVILLE, NJ
08081-1777
Practice Phone: 856-227-6575
Practice Fax: 856-237-8042
1679526396 — DR. MAYNARD HOLGADO MD
Practice Location Address:
485 WILLIAMSTOWN RD
SICKLERVILLE, NJ
08081-1777
Practice Phone: 856-227-6575
Practice Fax: 856-237-8042
1639116569 — DR. NICHOLAS G. PALLADINO MD
Practice Location Address:
485 WILLIAMSTOWN RD
SICKLERVILLE, NJ
08081-1777
Practice Phone: 856-227-6575
Practice Fax: 856-237-8042
1720008931 — TARA L. WYCHE-BULLOCK M.D.
Practice Location Address:
485 WILLIAMSTOWN RD
SICKLERVILLE, NJ
08081-1777
Practice Phone: 856-237-8100
Practice Fax: 856-237-8042
1912911207 — SICKLERVILLE INTERNAL MEDICINE ASSOCIATES INC
Practice Location Address:
485 WILLIAMSTOWN RD
SICKLERVILLE, NJ
08081-1777
Practice Phone: 856-237-8100
Practice Fax: 856-237-8142
1982704474 — DR. DANIEL A D'AURIA MD
Practice Location Address:
485 WILLIAMSTOWN RD
SICKLERVILLE, NJ
08081-1777
Practice Phone: 856-237-8045
Practice Fax: 856-237-8042

Directions to “SICKLERVILLE INTERNAL MEDICINE ” Practice Location

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