1649556713 NPI number — EMILY J RHEE APN

Table of content: EMILY J RHEE APN (NPI 1649556713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649556713 NPI number — EMILY J RHEE APN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHEE
Provider First Name:
EMILY
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649556713
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7776
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-985-2727
Provider Business Mailing Address Fax Number:
856-779-0211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 WHITE HORSE PIKE
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
HADDON HEIGHTS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08035-1938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-546-3900
Provider Business Practice Location Address Fax Number:
856-546-3908
Provider Enumeration Date:
11/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  26NJ00351700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 26NJ00351700 . This is a "NJ APN LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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