Organization
CORNERSTONE ASTHMA AND ALLERGY ASSOCIATES, L.L.C.
Active
Other names
Cornerstone Asthma & Allergy Associates, L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W. BANTZ M.D. (DR.)
(609) 953-7500
Entity
Organization
Contact information
Practice address
103 OLD MARLTON PIKE, SUITE 211, MEDFORD, NJ 08055-8772
(609) 953-7500
(609) 953-9085
Mailing address
103 OLD MARLTON PIKE MEDFORD MEDICAL CENTER, SUITE 211, MEDFORD, NJ 08055
(609) 953-7500
(609) 953-9085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA48238
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010003124010
AMERICHOICE
NJ
01
—
0350808000
AMERIHEALTH HMO
NJ
01
—
147995
PA BCBS PC
NJ
01
—
3373326
AETNA
NJ
05
—
5312302
—
NJ
01
—
60012703
HORIZON-MERCY
NJ
01
—
83386
AMERIGROUP
NJ
01
—
J017341
TRICARE
NJ
01
—
P381888
OXFORD
NJ
Enumeration date
10/11/2006
Last updated
07/05/2012
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