The Estaugh T/a Medford Leas
NPI #1659309524 in Medford, New Jersey
Provider Information
- NPI Number
- 1659309524
- Entity Type
- Organization
- Organization Name
- The Estaugh T/a Medford Leas
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Jul 15, 2022
Practice Location
- Address
- 1 MEDFORD LEAS
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-2254
- Phone
- (609) 654-3005
Authorized Official
- Name
- MR. JEREMY M VICKERS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (609) 654-3009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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