| Dr Jordan L Lastra, MD | |
|
1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 | |
| (856) 757-3500 | |
| Not Available |
| Full Name | Dr Jordan L Lastra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1600 Haddon Ave Fl 6, Camden, 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 |
|---|---|---|---|
| 1396314100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MT222893 (Pennsylvania) | Primary |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan L Lastra, MD 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Dr Jordan L Lastra, MD 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 Ph: (856) 757-3500 |
Howard Isadore Kesselheim, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Cooper Plz, Camden, NJ 08103 Phone: 855-632-2667 | |
Richard Arthur Hellander, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 817 Federal St, Camden, NJ 08103 Phone: 856-583-2400 | |
Sivakoti Nagireddy Guda, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Haddon Ave Fl 6, Camden, NJ 08103 Phone: 856-757-3500 | |
Dr. Bradley Foster Bender, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3150 | |
Dr. Amanda A Valvano, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2000 | |
Niku Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2488 | |
Dr. Elizabeth Leilani Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz Rm 104, Camden, NJ 08103 Phone: 856-968-8695 |