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Individual

DR. THOMAS J SERGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 CARNIE BLVD, SUITE B-5, VOORHEES, NJ 08043-4512
(856) 751-0123
(856) 751-0535
Mailing address
PO BOX 1710, SOUTH JERSEY RADIOLOGY ASSOCIATES, PA, VOORHEES, NJ 08043-7710
(856) 770-0300
(856) 770-0395

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04085800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0109327000
AMERIHEALTH
01
0732408
AETNA
01
1090818
HORIZON NJ HEALTH
01
1243570
UNITED HEALTHCARE
05
1864904
NJ
01
300047119
RAILROAD MEDICARE
01
A3738029
OXFORD HEALTH
01
SE504421
PREMIER BLUE
Enumeration date
09/02/2005
Last updated
06/19/2012
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