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NPI Code Detail

MEDICARE: MEDEXCEL LLC

MEDICARE: MEDEXCEL LLC
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
1207RC0000XCardiovascular Disease Physician25MA03617900NJ

General Provider Information

NPI Number : 1710305800
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDEXCEL LLC
Provider Business Mailing Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Provider Business Practice Location Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Authorized Official
Title or Position : BILLING MANAGER
Name : MRS. PATRICIA A VAUGHN
Credential :
Telephone Number : 609-646-4064
Provider Enumeration Date : 04/04/2014
Last Update Date : 04/04/2014

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Directions to “MEDEXCEL LLC ” Practice Location

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