| Ian B Maitin, MD | |
|
42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | |
| (856) 566-7010 | |
| (856) 566-6956 |
| Full Name | Ian B Maitin |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 42 E Laurel Rd Ste 1700, Stratford, 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 |
|---|---|---|---|
| 1306834502 | NPI | - | NPPES |
| 0014118890001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 25MA05556000 (New Jersey) | Primary |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian B Maitin, MD 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 566-7010 | Ian B Maitin, MD 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 Ph: (856) 566-7010 |
Dr. Lanvin F Taylor Ii, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 42 E Laurel Rd Ste 1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 | |
Dr. Marianne Sturr, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 | |
Dr. Jodi E Kodish-wachs, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 42 Laurel Rd E, Udp #1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 | |
Dr. Tyler James Pigott, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 | |
Dr. Richard T Jermyn, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 42 E Laurel Rd Ste 1700, Stratford, NJ 08084 Phone: 856-566-7010 Fax: 856-566-6956 |