Marconi Chu-chu Sackor, | |
713 S Broad St, Clayton, NJ 08312-2131 | |
(443) 740-1672 | |
Not Available |
Full Name | Marconi Chu-chu Sackor |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 713 S Broad St, Clayton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629781000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01407100 (New Jersey) | Primary |
Entity Name | State Of New Jersey Omb Centralized Payroll |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629155502 PECOS PAC ID: 6406742592 Enrollment ID: O20040225000797 |
Mailing Address | Practice Location Address |
---|---|
Marconi Chu-chu Sackor, 713 S Broad St, Clayton, NJ 08312-2131 Ph: (443) 740-1672 | Marconi Chu-chu Sackor, 713 S Broad St, Clayton, NJ 08312-2131 Ph: (443) 740-1672 |
Macary Henry, APN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 249 S Delsea Dr, Clayton, NJ 08312 Phone: 856-203-1657 | |
Guylante Jules, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 E Howard St, Clayton, NJ 08312 Phone: 786-469-0304 | |
Amy L Flannery, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Dubois Ave, Clayton, NJ 08312 Phone: 856-759-7396 |