Active NPI 1861477192 Individual Practitioner Male Practitioner

Dr. Peter Dennis Corda , DO

Anesthesiology • Williamstown, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Peter Corda, DO is a certified Anesthesiology practicing in Williamstown, NJ. With approximately 43 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 1983, Dr. Corda delivers high-quality medical care to the local community at 2007 N BLACK HORSE PIKE.

Dr. Corda is affiliated with Professional Pain Managment Associates and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2007 N Black Horse Pike

Williamstown, NJ 080949120

Telephone 8567404888

Associated Practice Facility / Clinic

🏢 Professional Pain Managment Associates Facility NPI 1154592103

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Williamstown, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +1.0 yrs vs City Avg

City Avg: 42.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Williamstown, NJ (1783 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

87.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Corda (43 Years) 43 Yrs

Williamstown Specialty Average (42.0 Years) 42.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,876	239	$300.00	$133.52
80307 Testing for presence of drug, by chemistry analyzers	1,501	197	$700.00	$60.22
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	219	114	$1696.12	$153.46
99213 Established patient office or other outpatient visit, typically 15 minutes	159	81	$225.00	$95.83
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	134	82	$850.00	$112.14
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	91	56	$2525.00	$194.77
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	59	30	$3350.00	$241.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$500.00	$176.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$450.00	$117.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,009	268	$299.85	$136.20
80307 Testing for presence of drug, by chemistry analyzers	1,868	257	$700.00	$60.25
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	370	158	$1700.00	$153.46
99213 Established patient office or other outpatient visit, typically 15 minutes	104	62	$225.72	$98.18
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	48	38	$2525.00	$194.77
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	46	32	$3350.00	$237.78
62323 Injection of substance into lower spine canal using imaging guidance	35	28	$1750.00	$102.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	27	$175.00	$60.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$500.00	$180.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$450.00	$121.87
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	24	20	$425.00	$74.78
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	24	20	$850.00	$133.26
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	18	15	$1150.00	$135.15
01938 Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance	11	11	$1248.64	$52.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,385	307	$300.00	$139.20
80307 Testing for presence of drug, by chemistry analyzers	2,043	302	$700.00	$61.21
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	1,027	245	$1700.00	$154.54
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	151	105	$2525.00	$197.53
99213 Established patient office or other outpatient visit, typically 15 minutes	106	68	$225.00	$100.08
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	75	21	$70.00	$63.71
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	66	19	$58.03	$54.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	51	$175.00	$62.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$500.00	$183.30
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	43	39	$3350.00	$244.05
01938 Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance	40	35	$1235.13	$52.81
62323 Injection of substance into lower spine canal using imaging guidance	24	14	$1750.00	$107.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$450.00	$119.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	1,794	296	$700.00	$61.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,523	314	$299.66	$140.26
99213 Established patient office or other outpatient visit, typically 15 minutes	555	205	$225.00	$99.01
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	422	186	$1700.00	$156.59
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	354	142	$3350.00	$246.92
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	188	90	$2525.00	$198.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$500.00	$182.99
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	61	44	$1266.97	$65.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$175.00	$60.79
62323 Injection of substance into lower spine canal using imaging guidance	26	20	$1750.00	$107.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$450.00	$123.03
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	21	15	$70.00	$70.00
62323 Injection of substance into lower spine canal using imaging guidance	18	18	$1750.00	$304.92
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	17	17	$60.00	$55.66
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	13	12	$850.00	$210.34
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	13	12	$425.00	$106.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$125.00	$25.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,767	248	$225.00	$77.62
80307 Testing for presence of drug, by chemistry analyzers	1,649	265	$700.00	$60.97
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	746	223	$2525.00	$196.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	369	179	$125.00	$24.58
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	141	77	$3350.00	$246.92
81007 Urinalysis for bacteria	123	122	$50.00	$29.01
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	69	65	$1711.96	$155.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	53	$298.75	$109.33
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	51	36	$1270.20	$67.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$450.00	$112.49
62323 Injection of substance into lower spine canal using imaging guidance	42	29	$1750.00	$277.74
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	25	18	$425.00	$91.39
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	25	18	$850.00	$179.84
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	21	15	$425.00	$94.90
62323 Injection of substance into lower spine canal using imaging guidance	20	14	$1750.00	$104.42
62321 Injection of substance into middle or upper spine canal using imaging guidance	14	11	$2200.00	$112.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$500.00	$156.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	864	170	$700.00	$62.46
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	830	253	$2525.00	$194.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	817	148	$125.00	$24.69
99213 Established patient office or other outpatient visit, typically 15 minutes	618	256	$225.12	$79.03
81007 Urinalysis for bacteria	249	184	$50.00	$29.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	125	$300.00	$115.21
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	122	75	$1356.02	$69.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$450.56	$114.82
62323 Injection of substance into lower spine canal using imaging guidance	59	37	$1750.00	$276.12
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	42	36	$1700.00	$153.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$500.00	$174.69
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	25	17	$850.00	$212.30
62323 Injection of substance into lower spine canal using imaging guidance	24	17	$1750.00	$105.18
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	23	16	$425.00	$107.57
62321 Injection of substance into middle or upper spine canal using imaging guidance	21	14	$2200.00	$114.48
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	21	17	$425.00	$62.11
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	21	17	$850.00	$108.73
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	20	14	$1150.00	$261.52
20610 Aspiration and/or injection of fluid from large joint	16	11	$325.00	$68.65
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	15	11	$425.00	$61.70
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	14	11	$425.00	$98.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	864	156	$53.17	$23.47
80307 Testing for presence of drug, by chemistry analyzers	849	162	$270.96	$70.39
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	827	229	$2521.78	$194.77
99213 Established patient office or other outpatient visit, typically 15 minutes	630	244	$133.93	$77.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	119	$207.70	$113.06
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	70	58	$1680.00	$153.46
01935 Anesthesia for diagnostic x-ray procedure (accessed through the skin) on spine and spinal cord	62	46	$1322.58	$67.99
62323 Injection of substance into lower spine canal using imaging guidance	52	36	$998.89	$267.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$333.63	$173.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$234.53	$115.00
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	37	31	$353.11	$197.55
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	36	30	$177.82	$98.32
62323 Injection of substance into lower spine canal using imaging guidance	28	23	$985.96	$105.17
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	27	23	$186.73	$95.20
01992 Anesthesia for nerve block and injection procedure, prone position	23	18	$1310.22	$68.14
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	18	14	$631.74	$240.26
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	15	14	$1325.67	$67.68
62321 Injection of substance into middle or upper spine canal using imaging guidance	14	11	$743.40	$113.72
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	14	13	$840.00	$112.14
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	12	11	$220.75	$187.12
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	12	11	$356.34	$99.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	1,493	264	$389.79	$78.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	911	155	$83.70	$21.23
99213 Established patient office or other outpatient visit, typically 15 minutes	873	268	$165.50	$75.22
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	717	242	$2520.00	$200.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$469.64	$168.23
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	74	68	$1680.00	$157.77
62323 Injection of substance into lower spine canal using imaging guidance	70	46	$1052.74	$258.50
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	45	28	$1152.76	$238.35
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	45	33	$1623.79	$203.29
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	44	32	$932.15	$100.45
01992 Anesthesia for nerve block and injection procedure, prone position	41	36	$1271.50	$67.72
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	35	24	$936.93	$97.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$171.54	$111.51
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	34	20	$741.24	$91.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$259.98	$110.98
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	26	26	$840.00	$115.30
62323 Injection of substance into lower spine canal using imaging guidance	25	21	$1314.47	$103.80
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	23	18	$1462.37	$107.50
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	22	17	$877.87	$61.82
62321 Injection of substance into middle or upper spine canal using imaging guidance	20	15	$1388.65	$113.88
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	20	17	$1475.25	$118.81
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	18	13	$847.92	$63.11
62321 Injection of substance into middle or upper spine canal using imaging guidance	17	12	$1289.59	$263.12
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	17	16	$911.99	$177.57
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	15	13	$1000.00	$53.38
01991 Anesthesia for nerve block and injection	12	11	$745.77	$44.25

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License NJ 25MB04459800

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Professional Pain Managment Associates

2007 N Black Horse Pike, Williamstown, NJ 080949120

Phone: 8567404888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Kelly Gramm , APN

Pain Medicine - Pain Medicine

NPI 1265999759

Advanced Practice Nurse

Dr. Gary Buck , MD

Anesthesiology - Pain Medicine

NPI 1427054253

Doctor of Medicine (M.D.)

Pauline Bailey

Nurse Practitioner

NPI 1548911654

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2010

Registered at 2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 080949120 (Tel: 8567404888)

📍

Updated Business Mailing Address October 05, 2010

Registered at PO BOX 8890, TURNERSVILLE, NJ 080120453 (Tel: 8567404888)

👤

Provider Name / Credentials Updated October 05, 2010

Recorded as PETER CORDA, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2010

Anesthesiology (License #25MB04459800 in NJ)

🟢

Initial NPI Registration & Enumeration December 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861477192

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 09, 2005

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8890

Turnersville, NJ 080120453

Phone: 8567404888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.