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Organization

STAWICKI AND PATNAIK MEDICAL ASSOCIATES, P.C.

Active
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Organization

STAWICKI AND PATNAIK MEDICAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CANDACE LOUISE SANDOW-KAISER (OFFICE/BILLING MANAGER)
(609) 581-5586
Entity
Organization

Contact information

Practice address
1235 WHITEHORSE MERCERVILLE RD, SUITE 316 BLDG. C, MERCERVILLE, NJ 08619-3810
(609) 581-5586
(609) 581-5779
Mailing address
1235 WHITEHORSE MERCERVILLE RD, SUITE 316 BLDG. C, MERCERVILLE, NJ 08619-3810
(609) 581-5586
(609) 581-5779

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1497732598
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035105
MEDICARE
NJ
01
0574375
AETNA HEALTHCARE
NJ
01
05793468
TRADITIONAL AETNA
NJ
01
1575075
CIGNA GROUP
NJ
01
1941543
UNITED HEALTHCARE
NJ
01
733224000
AMERIHEALTH 65
NJ
01
8155305
MEDICAID
NJ
01
CH0960
MEDICARE RAILROAD/GRP
NJ
01
G1942701
OXFORD HEALTHPLANS
NJ
Enumeration date
08/31/2006
Last updated
05/20/2015
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