Dr Pankti Tamboli, DO | |
1450 Almonesson Rd Ste 225, Deptford, NJ 08096-5241 | |
(856) 227-8611 | |
(856) 227-5716 |
Full Name | Dr Pankti Tamboli |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1450 Almonesson Rd Ste 225, Deptford, 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 |
---|---|---|---|
1528646254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB12082300 (New Jersey) | Primary |
Entity Name | Inspira Health Network Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922177856 PECOS PAC ID: 4880797570 Enrollment ID: O20070319000280 |
Entity Name | Inspira Health Network Urgent Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255613329 PECOS PAC ID: 2769657659 Enrollment ID: O20111205000169 |
Entity Name | Inspira Sj Urgent Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619320991 PECOS PAC ID: 0749566958 Enrollment ID: O20170424000682 |
Mailing Address | Practice Location Address |
---|---|
Dr Pankti Tamboli, DO 134 Bridgeton Pike Ste C, Mullica Hill, NJ 08062-2616 Ph: (856) 507-2783 | Dr Pankti Tamboli, DO 1450 Almonesson Rd Ste 225, Deptford, NJ 08096-5241 Ph: (856) 227-8611 |
Kreena Shah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1450 Almonesson Rd Ste 225, Deptford, NJ 08096 Phone: 856-227-8611 Fax: 856-227-5716 |