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Contact Information

ESA SOUTH JERSEY BARIATRICS, P.A.
1103 WEST SHERMAN AVENUE
BUILDING 2 UNIT C
VINELAND, NJ08360
 Phone: 856-362-5259
 Fax: 856-405-6978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ESA SOUTH JERSEY BARIATRICS PA · (Female)

NPI # 1235448564
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2010
Last updated 03/07/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MB082666100
  • NJ Medicaid 0148911
  • NJ Other 01004632800 AMERICHOICE-UHC COMMUNITY PLAN
  • NJ Other 3811510001 AMERIHEALTH
  • NJ Other 2871684000 AMERIHEALTH HMO
  • NJ Other 5974712 CIGNA HEALTHCARE
  • NJ Other 60072276 HORIZON NJ HEALTH
  • NJ Other P3868269 OXFORD-UNITED HEALTHCARE
  • NJ Other 2785305 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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