| Beckett Family Practice | |
|
545 Beckett Rd. Suite 806 Logan Twp. NJ 08085 | |
| (856) 467-2556 | |
| (856) 467-3816 |
| Full Name | Beckett Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 545 Beckett Rd., Logan Twp., New Jersey |
| Authorized Official Name and Position | Lois A Laganella (OFFICE MANAGER) |
| Authorized Official Contact | 8564672556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beckett Family Practice 545 Beckett Rd. Suite 806 Logan Twp. NJ 08085 Ph: (856) 467-2556 | Beckett Family Practice 545 Beckett Rd. Suite 806 Logan Twp. NJ 08085 Ph: (856) 467-2556 |
| NPI Number | 1609807288 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609807288 | NPI | - | NPPES |
| 0072472002 | Other | AMERIHEALTH | |
| 47135 | Other | AETNA | |
| 3340902 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |