Organization
THE ESTAUGH T/A MEDFORD LEAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY M VICKERS (CHIEF EXECUTIVE OFFICER)
(609) 654-3009
Entity
Organization
Contact information
Practice address
1 MEDFORD LEAS, MEDFORD, NJ 08055-2254
(609) 654-3005
(609) 654-7894
Mailing address
1 MEDFORD LEAS, MEDFORD, NJ 08055-2254
(609) 654-3005
(609) 654-7894
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
07/15/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up