Individual
TERRY A PAKISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 NORTH OLDEN AVE EXT, SUITE 9A, TRENTON, NJ 08618
(609) 883-3444
(609) 883-6297
Mailing address
1901 NORTH OLDEN AVE EXT, SUITE 9A, TRENTON, NJ 08618
(609) 883-3444
(609) 883-6297
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA40233
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270857001
AMERIHEALTH
NJ
01
—
1K3854
HEALTH NET OF NORTHEAST
—
01
—
208136
UNITED HEALTHCARE PIN
—
01
—
223649732
HORIZON BLUE CROSS AND BL
NJ
01
—
223649732
AETNA
—
01
—
4316089
AETNA PIN
—
01
—
508727
BLUE CROSS AND BLUE SHIEL
PA
01
—
53172
HIGHMARK BLUE CROSS BLUE
—
01
—
E08727
AMERIHEALTH ADMINISTRATOR
—
01
—
P2943261
OXFORD HEALTH PLAN
—
Enumeration date
10/04/2006
Last updated
11/27/2009
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