| Amita Talati Md Llc | |
|
2301 E Evesham Rd Voorhees NJ 08043-4501 | |
| (856) 770-1300 | |
| Not Available |
| Full Name | Amita Talati Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2301 E Evesham Rd, Voorhees, New Jersey |
| Authorized Official Name and Position | Amita Talati (OWNER) |
| Authorized Official Contact | 8567701300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amita Talati Md Llc 2301 E Evesham Rd Voorhees NJ 08043-4501 Ph: (856) 770-1300 | Amita Talati Md Llc 2301 E Evesham Rd Voorhees NJ 08043-4501 Ph: (856) 770-1300 |
| NPI Number | 1144673609 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Medicare PECOS PAC ID | 0840558334 |
|---|---|
| Medicare Enrollment ID | O20171209000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144673609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA04739500 (New Jersey) | Primary |
| Provider Name | April Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306380613 PECOS PAC ID: 7416221957 Enrollment ID: I20170921001008 |
| Provider Name | Amita Naresh Talati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306911979 PECOS PAC ID: 9931361086 Enrollment ID: I20180423001110 |
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