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Organization
PINELAND PLAZA FAMILY PRACTICE, LLC
Active
Organization
PINELAND PLAZA FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E SCHEUERMANN M.D. (PHYSICAN)
(609) 953-8080
Entity
Organization
Contact information
Practice address
617 STOKES RD, SUITE 9, MEDFORD, NJ 08055-3097
(609) 953-8080
(609) 953-2133
Mailing address
617 STOKES RD, SUITE 9, MEDFORD, NJ 08055-3097
(609) 953-8080
(609) 953-2133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05929200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K9030
PHS
NJ
01
—
2004240001
KEYSTONE/AMERIHEALTH
NJ
01
—
203209600
ESA
NJ
01
—
47304
AETNA
NJ
01
—
984797
PA BS
NJ
01
—
P2803779
OXFORD
NJ
Enumeration date
07/04/2006
Last updated
09/23/2011
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