Organization
ROWANSOM DEPT OF PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIEKER (CHIEF FINANCIAL OFFICER)
(856) 770-5729
Entity
Organization
Contact information
Practice address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Mailing address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099409000
AMERIHEALTH GRP
NJ
01
—
1044766
CIGNA GRP
NJ
05
—
3118207
—
NJ
01
—
8421390
AETNA GRP
NJ
01
—
CA8142
RR MEDICARE
NJ
Enumeration date
01/26/2006
Last updated
03/21/2016
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