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NPI Code Detail

MEDICARE: WHITING MEDICAL ASSOCIATES, LLC

MEDICARE: WHITING MEDICAL ASSOCIATES, 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
1207R00000XInternal Medicine Physician

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 : 1831122928
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITING MEDICAL ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 65 LACEY RD APT A
Second Line :
City : WHITING
State : NJ
Zip : 08759-2985
Country : US
Telephone Number : 732-350-0404
Fax Number : 732-350-2001
Provider Business Practice Location Address
First Line : 65 LACEY RD APT A
Second Line :
City : WHITING
State : NJ
Zip : 08759-2985
Country : US
Telephone Number : 732-350-0404
Fax Number : 732-350-2001
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : MS. JAN MARGARET MAHLMANN
Credential :
Telephone Number : 732-350-0404
Provider Enumeration Date : 07/09/2006
Last Update Date : 04/20/2010

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Directions to “WHITING MEDICAL ASSOCIATES, LLC ” Practice Location

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