| Dr Kelly Glenn Speich, MD | |
|
200 Bowman Dr Ste D285, Voorhees, NJ 08043-9626 | |
| (856) 576-5746 | |
| (856) 519-5295 |
| Full Name | Dr Kelly Glenn Speich |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 200 Bowman Dr Ste D285, Voorhees, 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 |
|---|---|---|---|
| 1164926770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 25MA11730800 (New Jersey) | Primary |
| Entity Name | Regional Otolaryngology Head And Neck Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528426 PECOS PAC ID: 9739162637 Enrollment ID: O20040611000013 |
| Entity Name | Ent And Allergy Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376598326 PECOS PAC ID: 0749193662 Enrollment ID: O20041122001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Glenn Speich, MD 660 White Plains Rd Fl 4, Tarrytown, NY 10591-5187 Ph: (914) 333-5801 | Dr Kelly Glenn Speich, MD 200 Bowman Dr Ste D285, Voorhees, NJ 08043-9626 Ph: (856) 576-5746 |
Gileno Oliveira Fonseca Filho, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sheppard Rd, Voorhees, NJ 08043 Phone: 856-772-1617 | |
Dr. Edward David Scheiner, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Drive, Suite D-285, Voorhees, NJ 08043 Phone: 856-576-5746 Fax: 856-519-5295 | |
Ashmit Gupta, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste D285, Voorhees, NJ 08043 Phone: 856-576-5746 Fax: 856-519-5295 | |
Luke Young Joong Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sheppard Rd, Voorhees, NJ 08043 Phone: 856-772-1617 Fax: 856-229-7850 | |
Dr. Emilio A. Roncace, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1307 White Horse Rd, Bldg A, Voorhees, NJ 08043 Phone: 856-346-0200 Fax: 856-309-8192 | |
Dr. Samir V Shah, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste D285, Voorhees, NJ 08043 Phone: 856-576-5746 Fax: 856-519-5295 |