Organization
BECKETT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS A LAGANELLA (OFFICE MANAGER)
(856) 467-2556
Entity
Organization
Contact information
Practice address
545 BECKETT RD., SUITE 806, LOGAN TWP., NJ 08085
(856) 467-2556
(856) 467-3816
Mailing address
545 BECKETT RD., SUITE 806, LOGAN TWP., NJ 08085
(856) 467-2556
(856) 467-3816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072472002
AMERIHEALTH
—
05
—
3340902
—
NJ
01
—
47135
AETNA
—
Enumeration date
07/05/2006
Last updated
03/18/2011
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