| Optimum Personal Care Physicians LLC | |
|
538 Lippincott Dr Bldg E Marlton NJ 08053 | |
| (856) 489-0503 | |
| (856) 616-9259 |
| Full Name | Optimum Personal Care Physicians LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 538 Lippincott Dr Bldg E, Marlton, New Jersey |
| Authorized Official Name and Position | Mark Testa (OWNER) |
| Authorized Official Contact | 2159902145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Personal Care Physicians LLC 538 Lippincott Dr Bldg E Marlton NJ 08053-4806 Ph: (856) 489-0503 | Optimum Personal Care Physicians LLC 538 Lippincott Dr Bldg E Marlton NJ 08053 Ph: (856) 489-0503 |
| NPI Number | 1134610967 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 9830448026 |
|---|---|
| Medicare Enrollment ID | O20180821003359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134610967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (NU) | Primary |
| Provider Name | Mark a Testa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043205370 PECOS PAC ID: 3577658848 Enrollment ID: I20120308000655 |
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