MEDICARE: DR. MARIO V MAGASIC MD.

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
1	207RG0100X	Gastroenterology Physician	25MA05682000	NJ
2	207RG0100X	Gastroenterology Physician	25MA5682000	NJ
3	207RG0100X	Gastroenterology Physician	MA707587	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	100009294	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376659722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIO V MAGASIC MD.

Provider Business Mailing Address
First Line	:	406 LIPPINCOTT DRIVE
Second Line	:	SUITE E
City	:	MARLTON
State	:	NJ
Zip	:	08053-4128
Country	:	US
Telephone Number	:	856-983-1900
Fax Number	:	856-983-1914

Provider Business Practice Location Address
First Line	:	406 LIPPINCOTT DRIVE
Second Line	:	SUITE E
City	:	MARLTON
State	:	NJ
Zip	:	08053-4128
Country	:	US
Telephone Number	:	856-983-1900
Fax Number	:	856-983-1914

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	10/26/2011

Similar Medicare Providers

1649388398 — DR. GREGORY ANTHONY PISTONE M.D.
Practice Location Address:

100 CENTRE BLVD STE 100E
MARLTON, NJ
08053-4128

Practice Phone: 856-983-3600
Practice Fax:

1306964226 — ACORN DENTAL ASSOCIATES
Practice Location Address:

100 CENTRE BLVD , SUITE J
MARLTON, NJ
08053-4128

Practice Phone: 856-983-0060
Practice Fax: 856-983-3356

1750783585 — ACORN DENTAL SLEEP MEDICINE CENTERS LIMITED LIABILITY COMPANY
Practice Location Address:

100 CENTRE BLVD , SUITE J
MARLTON, NJ
08053-4128

Practice Phone: 856-983-0060
Practice Fax: 856-983-3356

1912466459 — NEW LIFE MEDICAL DETOXIFICATION LLC
Practice Location Address:

773 ROUTE 70 EAST , SUITE E100
MARLTON, NJ
08053-4128

Practice Phone: 856-942-3700
Practice Fax:

1205443405 — LIPOLASER OF SOUTH JERSEY PC
Practice Location Address:

100 CENTRE BLVD STE 100E
MARLTON, NJ
08053-4128

Practice Phone: 856-983-3600
Practice Fax:

1295574291 — BRADEN DENTAL OF SOUTH JERSEY PC
Practice Location Address:

100 CENTRE BLVD STE J
MARLTON, NJ
08053-4128

Practice Phone: 856-983-0060
Practice Fax:

Directions to “ DR. MARIO V MAGASIC MD.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.