| Robert Parcon Ticzon, | |
|
601 Plymouth Rd, Hillside, NJ 07205-2527 | |
| (908) 425-1108 | |
| Not Available |
| Full Name | Robert Parcon Ticzon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 29 Years |
| Location | 601 Plymouth Rd, Hillside, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184970329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 033797 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Queens Medical Pavilion,llc | 0345484978 | 4 |
| Provider Name | Queens Medical Pavilion,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124384136 PECOS PAC ID: 0345484978 Enrollment ID: O20130920000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Parcon Ticzon, 601 Plymouth Rd, Hillside, NJ 07205-2527 Ph: (908) 425-1108 | Robert Parcon Ticzon, 601 Plymouth Rd, Hillside, NJ 07205-2527 Ph: (908) 425-1108 |
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