Organization
MULLICA HILL ADVANCED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PESCATORE DO (MEDICAL DIRECTOR)
(856) 305-3863
Entity
Organization
Contact information
Practice address
507 MULLICA HILL RD, MULLICA HILL, NJ 08062-2665
(856) 362-4819
(856) 230-7171
Mailing address
507 MULLICA HILL RD, MULLICA HILL, NJ 08062-2665
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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