| Pine Street Family Practice | |
|
220 Pine St Williamstown NJ 08094-1137 | |
| (856) 629-7436 | |
| (856) 875-4742 |
| Full Name | Pine Street Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Pine St, Williamstown, New Jersey |
| Authorized Official Name and Position | Lee Ann Van Houten-sauter (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 8566297436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Street Family Practice 220 Pine St Williamstown NJ 08094-1137 Ph: (856) 629-7436 | Pine Street Family Practice 220 Pine St Williamstown NJ 08094-1137 Ph: (856) 629-7436 |
| NPI Number | 1437103033 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587623970 |
|---|---|
| Medicare Enrollment ID | O20041011000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437103033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven Michael Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285637223 PECOS PAC ID: 7416137575 Enrollment ID: I20110207000229 |
| Provider Name | Lee Ann Van Houten-sauter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508869553 PECOS PAC ID: 1052437480 Enrollment ID: I20110304000348 |
| Provider Name | Nicole C Zucconi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053651398 PECOS PAC ID: 2769617281 Enrollment ID: I20131108000500 |
| Provider Name | Maryanne Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253629 PECOS PAC ID: 5991083081 Enrollment ID: I20161024002756 |
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