| Mr Colin Anthony Pumphrey, | |
|
175 Cross Keys Rd, Berlin, NJ 08009-9263 | |
| (856) 767-0077 | |
| Not Available |
| Full Name | Mr Colin Anthony Pumphrey |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 175 Cross Keys Rd, Berlin, 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 |
|---|---|---|---|
| 1447987003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00749200 (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 |
|---|---|
| Mr Colin Anthony Pumphrey, 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: Not Available | Mr Colin Anthony Pumphrey, 175 Cross Keys Rd, Berlin, NJ 08009-9263 Ph: (856) 767-0077 |
Stacy Maria Ford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 Cross Keys Rd, Berlin, NJ 08009 Phone: 856-767-0077 Fax: 856-767-0100 |
Mrs. Chelsey A Mahon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009 Phone: 856-767-0077 Fax: 856-767-6102 |
Marlee Frankel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009 Phone: 856-767-0077 Fax: 856-767-6102 |
Kelsey Biondi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 339 N Route 73, Berlin, NJ 08009 Phone: 856-767-8228 |
Isabelle Catherine Clauss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009 Phone: 856-767-0077 |
Taylor Iacovelli, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 Berlin Cross Keys Rd Ste 300a, Berlin, NJ 08009 Phone: 856-767-0077 |
Ms. Jennifer Lynn Burrows, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 339 N Route 73 Ste 1, Berlin, NJ 08009 Phone: 856-767-8228 Fax: 856-753-7836 |