The Estaugh T/A Medford Leas
The Estaugh T/A Medford Leas is a Geriatric Medicine (Family Medicine) Physician in Medford, New Jersey. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1 Medford LeasMedford, NJ 08055-2254
Phone: (609) 654-3005
Fax: (609) 654-7894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|
Record details
| NPI number | 1659309524 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremy Vickers — Chief Executive Officer · (609) 654-3009 |
| NPI enumerated | June 29, 2006 |
| Last updated in NPPES | July 15, 2022 |
| Certification date | July 15, 2022 |
| Mailing address | 1 Medford Leas, Medford, NJ 08055-2254 |