Sicklerville Internal Medicine

LBN: Sicklerville Internal Medicine
Sicklerville Internal Medicine is an health care organization with primary practice located at 1405 Chews Landing Rd Ste. 14, Laurel Springs NJ 08021-2769. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sicklerville Internal Medicine can be contacted via phone (856) 227-6575, or through Wensauer, Joan via phone (856) 782-3300.

Contact Information

Primary practice address
1405 Chews Landing Rd Ste. 14 Laurel Springs NJ 08021-2769
Phone: (856) 227-6575
Fax: (856) 374-9495
Website:
Map and Directions
Authorized official contact:
Name: Wensauer, Joan Bachelor of Arts (BA)
Phone: (856) 782-3300

Health care specialties

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

Profile Details

NPI number 1821045428
LBN Legal business name Sicklerville Internal Medicine
DBA Doing business as
Authorized official Wensauer, Joan Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Nov 13th, 2007 - about 18 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 1821045428 NPPES
New Jersey MEDICAID 3279600

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