| Dr Nathan Fairbourn, DO | |
|
2950 College Dr Ste 2d, Vineland, NJ 08360-6933 | |
| (856) 641-6313 | |
| (856) 497-5350 |
| Full Name | Dr Nathan Fairbourn |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2950 College Dr Ste 2d, Vineland, 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 |
|---|---|---|---|
| 1952967291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 25MB11909100 (New Jersey) | Primary |
| Entity Name | Inspira Health Network Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922177856 PECOS PAC ID: 4880797570 Enrollment ID: O20070319000280 |
| Entity Name | Ob Hospitalist Services New Jersey Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801169966 PECOS PAC ID: 3476859182 Enrollment ID: O20160307001190 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan Fairbourn, DO 1505 W Sherman Ave, Vineland, NJ 08360-7059 Ph: () - | Dr Nathan Fairbourn, DO 2950 College Dr Ste 2d, Vineland, NJ 08360-6933 Ph: (856) 641-6313 |
Luciano J Bispo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2950 College Dr, Ste 2f, Vineland, NJ 08360 Phone: 856-205-0606 Fax: 856-205-0044 | |
Dr. John Edward Deaver, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 302-465-1959 | |
Dr. Woojin Chong, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2950 College Drive, Suite 2a, Vineland, NJ 08360 Phone: 856-641-8680 Fax: 856-641-8679 | |
Dr. Aileen Abankwa, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2950 College Dr Ste 2a, Vineland, NJ 08360 Phone: 856-641-8680 Fax: 856-641-8679 | |
Eric M Bonifield, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1102 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-690-1025 Fax: 856-690-1352 | |
Dr. Raechel Ann Fockler, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2950 College Dr, Suite 2f, Vineland, NJ 08360 Phone: 856-205-0606 Fax: 856-205-0044 | |
Dr. Amanda Mirmanesh, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2950 College Dr Ste 2d, Vineland, NJ 08360 Phone: 856-641-6313 Fax: 856-497-5350 |