Individual
LISA ANN MEDVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1113 HOSPITAL DR, SUITE 100, WILLINGBORO, NJ 08046-1103
(609) 835-5821
(609) 835-5827
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD060721-L
PA
208600000X
Surgery Physician
Primary
25MA06954000
NJ
208600000X
Surgery Physician
51460
KY
208600000X
Surgery Physician
M-13032
ID
208600000X
Surgery Physician
MD060721L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017932090008
—
PA
01
—
113499
BCBS
PA
05
—
8239606
—
NJ
Enumeration date
07/19/2005
Last updated
09/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us