| Dr Larry Wyatt, DO | |
| 
					2201 Chapel Ave W, Kennedy Memorial Hospital-umc, Cherry Hill, NJ 08002-2048  | |
| (856) 488-6560 | |
| (856) 488-6546 | 
| Full Name | Dr Larry Wyatt | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Cytopathology | 
| Location | 2201 Chapel Ave W, Cherry Hill, New Jersey | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871563965 | NPI | - | NPPES | 
| 3856909 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MB032175 (New Jersey) | Secondary | 
| 207ZC0500X | Pathology - Cytopathology | MB032175 (New Jersey) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Larry Wyatt, DO Po Box 635, Bellmawr, NJ 08099-0635 Ph: (856) 770-5772  | Dr Larry Wyatt, DO 2201 Chapel Ave W, Kennedy Memorial Hospital-umc, Cherry Hill, NJ 08002-2048 Ph: (856) 488-6560  | 
Dr. Jenni M. Davis, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Kennedy Memorial Hospital-umc, Cherry Hill, NJ 08002 Phone: 856-488-6560 Fax: 856-488-6546  | |
Jeanine Chiaffarano, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Pathology Department, Cherry Hill, NJ 08002 Phone: 856-488-6560 Fax: 856-488-6624  | |
Janusz Godyn,  Pathology Medicare: Medicare Enrolled Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6560 Fax: 856-488-6846  | |
Dr. Richard Bruce Maranoff, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 402 Chanticleer, Cherry Hill, NJ 08003 Phone: 856-751-5589  | |
Jun Liu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Pathology Department, Cherry Hill, NJ 08002 Phone: 856-488-6560 Fax: 856-488-6846  | |
Bethany Lara Mapow, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6500  | |
Dr. Syed Taghi Hasan Abedi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6500  |