| South Cumberland Medical Associates Pc | |
|
215 Back Neck Rd Bridgeton NJ 08302-6834 | |
| (856) 451-4414 | |
| (856) 451-2052 |
| Full Name | South Cumberland Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Back Neck Rd, Bridgeton, New Jersey |
| Authorized Official Name and Position | Catherine K Tugman (PRESIDENT) |
| Authorized Official Contact | 8564514414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Cumberland Medical Associates Pc 215 Back Neck Rd Bridgeton NJ 08302-6834 Ph: (856) 451-4414 | South Cumberland Medical Associates Pc 215 Back Neck Rd Bridgeton NJ 08302-6834 Ph: (856) 451-4414 |
| NPI Number | 1821021593 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 01/13/2011 |
| Medicare PECOS PAC ID | 9638066079 |
|---|---|
| Medicare Enrollment ID | O20040302000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821021593 | NPI | - | NPPES |
| 13551 | Other | NJ | AETNA |
| 3423301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher T Ballas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700809076 PECOS PAC ID: 4981591328 Enrollment ID: I20040303000071 |
| Provider Name | Lori C Talbot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013930023 PECOS PAC ID: 2769379841 Enrollment ID: I20040303000179 |
| Provider Name | Michelle H Bear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508894494 PECOS PAC ID: 2062427065 Enrollment ID: I20060213000474 |
| Provider Name | Monica Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235361148 PECOS PAC ID: 4284880410 Enrollment ID: I20141030000184 |
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