Iavicoli, Michelle A

Iavicoli, Michelle A is an individual health care provider with primary practice located at 1103 Kings Hwy N Suite 201, Cherry Hill NJ 08034-1983. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Iavicoli, Michelle A can be contacted via phone (856) 321-1800.

Contact Information

Primary practice address
1103 Kings Hwy N Suite 201 Cherry Hill NJ 08034-1983
Phone: (856) 321-1800
Fax: (856) 321-0133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MA58121 New Jersey

Profile Details

NPI number 1306931092
LBN Legal business name Iavicoli, Michelle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306931092 NPPES
New Jersey Other 1163594 HORIZON NJ HEALTH
New Jersey Other 2067761 HORIZON NJ HEALTH
New Jersey Other 010003803 HORIZON NJ HEALTH
New Jersey Other 160055209 HORIZON NJ HEALTH
New Jersey Other 24630 HORIZON NJ HEALTH
New Jersey Other 3K6126 HORIZON NJ HEALTH
New Jersey Other 783367 HORIZON NJ HEALTH
New Jersey Other 783367 HORIZON NJ HEALTH
New Jersey Other 1078883 HORIZON NJ HEALTH
New Jersey Other 2207020 HORIZON NJ HEALTH
New Jersey Other 2542331 HORIZON NJ HEALTH
New Jersey MEDICAID 7615001 HORIZON NJ HEALTH
New Jersey Other JP131 HORIZON NJ HEALTH
New Jersey Other 0809776000 HORIZON NJ HEALTH
New Jersey Other 2051479 HORIZON NJ HEALTH

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