MEDICARE: INTELLIHEALTH, INC.

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	261QP2300X	Primary Care Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DH0748	OTHER		RAILROAD MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1730186784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTELLIHEALTH, INC.

Provider Business Mailing Address
First Line	:	4510 CHURCH RD
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-2210
Country	:	US
Telephone Number	:	856-439-0060
Fax Number	:	856-439-0061

Provider Business Practice Location Address
First Line	:	4510 CHURCH RD
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-2210
Country	:	US
Telephone Number	:	856-439-0060
Fax Number	:	856-439-0061

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS Y LEE
Credential	:	M.D.
Telephone Number	:	856-439-0060

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	05/10/2013

Similar Medicare Providers

1952310930 — DR. ELISABETH HOROWITZ MD
Practice Location Address:

4510 CHURCH RD
MOUNT LAUREL, NJ
08054-2210

Practice Phone: 856-528-2583
Practice Fax: 856-528-2585

1356430748 — RONALD D PEAK DC PA
Practice Location Address:

4516 CHURCH RD
MOUNT LAUREL, NJ
08054-2210

Practice Phone: 856-778-8653
Practice Fax: 856-596-2832

1528147899 — DR. DAVID L JONES DC
Practice Location Address:

4516 CHURCH RD
MOUNT LAUREL, NJ
08054-2210

Practice Phone: 856-552-0570
Practice Fax: 856-988-1159

1497890008 — MOORESTOWN FOOT SPECIALISTS, LLC
Practice Location Address:

4514 CHURCH RD
MOUNT LAUREL, NJ
08054-2210

Practice Phone: 856-220-6526
Practice Fax: 856-235-3105

1487842555 — RONALD D PEAK D.C.
Practice Location Address:

4516 CHURCH RD
MOUNT LAUREL, NJ
08054-2210

Practice Phone: 856-778-8653
Practice Fax: 856-596-2832

1104126267 — DR. DEVON MATTHEW COUGHLIN D.C.
Practice Location Address:

4516 CHURCH RD
MOUNT LAUREL, NJ
08054-2210

Practice Phone: 856-552-0570
Practice Fax:

Directions to “INTELLIHEALTH, INC. ” 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.