The Estaugh T/A Medford Leas in Medford - Geriatric Medicine
The Estaugh T/A Medford Leas - NPI 1659309524
The Estaugh T/A Medford Leas is a Geriatric Medicine in Medford, New Jersey. The Estaugh T/A Medford Leas practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for The Estaugh T/A Medford Leas is 1659309524. The last update date is 2022-07-15.
The Estaugh T/A Medford Leas's current location address is 1 Medford Leas, Medford, New Jersey. You can contact this provider via phone number 6096543005 and fax number 6096547894. The mailing address for The Estaugh T/A Medford Leas is 1 Medford Leas, Medford, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Estaugh T/A Medford Leas |
|---|---|
| Address | 1 Medford Leas, Medford, New Jersey |
| Phone Number | 6096543005 |
| Fax Number | 6096547894 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Vickers M Jeremy |
| Telephone Number | 6096543009 |
NPI Number Detail
| NPI Number | 1659309524 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2022-07-15 |
Provider Mailing Address Detail
| Address | 1 Medford Leas |
|---|---|
| City | Medford |
| State | New Jersey (NJ) |
| Post Code | 80552254 |
| Phone Number | 6096543005 |
| Fax Number | 6096547894 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the The Estaugh T/A Medford Leas's 1659309524?
The The Estaugh T/A Medford Leas's NPI (National Provider Identifier) Number is 1659309524. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the The Estaugh T/A Medford Leas's physical address?
The The Estaugh T/A Medford Leas is physically located at 1 Medford Leas, in the city of Medford, NJ, with the postal code 80552254.
What is the The Estaugh T/A Medford Leas's area of specialization and corresponding taxonomy classification?
The The Estaugh T/A Medford Leas's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Qg0300X, which categorizes healthcare providers based on their specialties.
When did the The Estaugh T/A Medford Leas receive its 1659309524?
The The Estaugh T/A Medford Leas was issued its 1659309524 on 2006-06-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to The Estaugh T/A Medford Leas most recently updated or revised?
The details related to The Estaugh T/A Medford Leas, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-15.