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NPI Code Detail

MEDICARE: HARTFORD PHYSICIAN'S MANAGEMENT CORP.

MEDICARE: HARTFORD PHYSICIAN'S MANAGEMENT CORP.
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
1261QA0005XAmbulatory Family Planning Facility0009CT

Other Identifiers

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

General Provider Information

NPI Number : 1801849146
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARTFORD PHYSICIAN'S MANAGEMENT CORP.
Provider Business Mailing Address
First Line : 601 CHAPEL AVE E
Second Line : SUITE B
City : CHERRY HILL
State : NJ
Zip : 08034-1407
Country : US
Telephone Number : 856-356-4025
Fax Number : 856-356-4038
Provider Business Practice Location Address
First Line : 1 MAIN ST
Second Line : UNIT N1
City : HARTFORD
State : CT
Zip : 06106-1806
Country : US
Telephone Number : 860-525-1900
Fax Number : 860-522-9913
Authorized Official
Title or Position : COO
Name : ANGELA LAZARUS
Credential : JD
Telephone Number : 856-356-4000
Provider Enumeration Date : 05/18/2006
Last Update Date : 06/16/2014

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Directions to “HARTFORD PHYSICIAN'S MANAGEMENT CORP. ” Practice Location

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