| Ms Cassandra Ullrich, | |
| 
					133 Jackson Rd Ste A, Medford, NJ 08055-9234  | |
| (609) 654-9961 | |
| Not Available | 
| Full Name | Ms Cassandra Ullrich | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 133 Jackson Rd Ste A, Medford, 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 | 
|---|---|---|---|
| 1609300185 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 25MB10818200 (New Jersey) | Primary | 
| Entity Name | Advocare , Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Cassandra Ullrich, 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: () -  | Ms Cassandra Ullrich, 133 Jackson Rd Ste A, Medford, NJ 08055-9234 Ph: (609) 654-9961  | 
Dr. Milagros Calderon Malicdem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Penny Ln, Medford, NJ 08055 Phone: 856-596-5850  | |
Dr. Robert D Weitz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd, Ironstone Bldg B10, Medford, NJ 08055 Phone: 609-654-9112 Fax: 609-654-7404  | |
Dr. Rebecca A Reed, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd, Ironstone Bldg B10, Medford, NJ 08055 Phone: 609-654-9112 Fax: 609-654-7404  | |
Dr. Wanda I Coss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Stokes Rd, Ironstone Building B10, Medford, NJ 08055 Phone: 609-654-9112 Fax: 609-654-7404  | |
Dr. Jennifer L Buccigrossi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Stokes Rd, Ironstone Bldg B10, Medford, NJ 08055 Phone: 609-654-9112 Fax: 609-654-7404  | |
Dr. Daniel J Foran, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd, Ironstone Bldg B10, Medford, NJ 08055 Phone: 609-654-9112 Fax: 609-654-7404  |