Lisa A Medvetz, MD
Surgery in Willingboro, New Jersey
1467451823- Practice location
- 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103
- Phone
- 609-835-5821
- Fax
- 609-835-5827
- Last updated
- September 1, 2023
Lisa Ann Medvetz is a Surgery based in Willingboro, NJ. Lisa Ann Medvetz practices in Willingboro, NJ and has the professional credentials of MD. The NPI Number for Lisa Ann Medvetz is 1467451823 and holds a License No. MD060721-L (PA). The current practice location address for Lisa Ann Medvetz is 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 and can be reached out via phone at 609-835-5821 and via fax at 609-835-5827.
Provider Profile Details
- NPI Number
- 1467451823
- Provider Name
- Lisa Ann Medvetz
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103
- Phone Number
- 609-835-5821
- Fax Number
- 609-835-5827
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2005
- Last Update Date
- September 1, 2023
- Certification Date
- September 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1113 Hospital Dr
Suite 100
Willingboro, NJ 08046-1103 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-1103
- Phone Number
- 609-835-5821
- Fax Number
- 609-835-5827
Provider Business Mailing Address Details
- Address
- 500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761 - City
- Haddon Heights
- State
- NJ
- Zip
- 08035-1761
- Phone Number
- 856-796-9200
- Fax Number
- 856-796-9397
License Information
- License Number (1)
- MD060721-L
- License State (1)
- PA
- Taxonomy (1)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (2)
- 51460
- License State (2)
- KY
- Taxonomy (2)
- Surgery · 208600000X
- License Number (3)
- MD060721L
- License State (3)
- PA
- Taxonomy (3)
- Surgery · 208600000X
- License Number (4)
- M-13032
- License State (4)
- ID
- Taxonomy (4)
- Surgery · 208600000X
- License Number (5)
- 25MA06954000
- License State (5)
- NJ
- Taxonomy (5)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Willingboro, NJ
View all Surgery providers in Willingboro →Frequently Asked Questions
What is the NPI number of Lisa A Medvetz, MD?
The NPI number of Lisa A Medvetz, MD is 1467451823. It was assigned on July 19, 2005 and is currently active in the NPPES registry.
What is the specialty of Lisa A Medvetz, MD?
Lisa A Medvetz, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in PA under license number MD060721-L.
Where does Lisa A Medvetz, MD practice?
The practice location is 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103. The office can be reached at 609-835-5821 (phone) or 609-835-5827 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467451823 directly on the NPPES registry website.