Organization
MEETINGHOUSE FAMILY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA TONZELLO (OFFICE MANAGER)
(856) 596-9050
Entity
Organization
Contact information
Practice address
105 EVESBORO MEDFORD RD STE I, MARLTON, NJ 08053-3865
(856) 596-9050
(856) 596-0320
Mailing address
105 EVESBORO MEDFORD RD STE I, MARLTON, NJ 08053-3865
(856) 596-9050
(856) 596-0320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA0368900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0837097001
AMERIHEALTH
—
01
—
10004
AETNA
—
Enumeration date
09/20/2006
Last updated
07/28/2024
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