Moorestown Internal Medicine, P.C.

LBN: Moorestown Internal Medicine, P.C.
Moorestown Internal Medicine, P.C. is an health care organization with primary practice located at 147 E 3Rd St Ste 1 , Moorestown NJ 08057-2924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Moorestown Internal Medicine, P.C. can be contacted via phone (856) 234-7754, or through Gross, David D via phone (856) 234-7754.

Contact Information

Primary practice address
147 E 3Rd St Ste 1 Moorestown NJ 08057-2924
Fax: (856) 234-2290
Website:
Authorized official contact:
Name: Gross, David D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1255409868
LBN Legal business name Moorestown Internal Medicine, P.C.
DBA Doing business as
Authorized official Gross, David D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Feb 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255409868 NPPES
New Jersey Other 003106 AETNA
New Jersey Other 0500085001 AETNA
New Jersey MEDICAID 4621000 AETNA
New Jersey Other CI0287 AETNA

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