| Ct Holdings Medical Group Llc | |
|
1 Eves Dr Ste 111 Marlton NJ 08053-3125 | |
| (856) 357-3247 | |
| (856) 249-9164 |
| Full Name | Ct Holdings Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Eves Dr Ste 111, Marlton, New Jersey |
| Authorized Official Name and Position | Christopher Trotz (PHYSICIAN) |
| Authorized Official Contact | 8566252407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Holdings Medical Group Llc 1 Eves Dr Ste 111 Marlton NJ 08053-3125 Ph: (856) 357-3247 | Ct Holdings Medical Group Llc 1 Eves Dr Ste 111 Marlton NJ 08053-3125 Ph: (856) 357-3247 |
| NPI Number | 1922189513 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 03/09/2024 |
| Medicare PECOS PAC ID | 1951325257 |
|---|---|
| Medicare Enrollment ID | O20080724000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922189513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA07948800 (New Jersey) | Primary |
| Provider Name | Christopher R Trotz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215025283 PECOS PAC ID: 6204869035 Enrollment ID: I20050913000740 |
| Provider Name | Shawna I Reigel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619900586 PECOS PAC ID: 5890708317 Enrollment ID: I20060728000006 |
| Provider Name | Lisa Cole Nutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861734329 PECOS PAC ID: 6305087875 Enrollment ID: I20130725000428 |
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