Active NPIOrganization

Excalibur Healthcare

Clinic/Center, Radiology in Maple Shade, New Jersey

NPI Number1659727741
Practice location
1000 S Lenola RD, Building One, Suite 105, Maple Shade, NJ 08052-1630
Fax
—
Last updated
May 9, 2016

Excalibur Healthcare is a healthcare organization based in Maple Shade, NJ. Excalibur Healthcare practices in Maple Shade, NJ. The NPI Number for Excalibur Healthcare is 1659727741 and holds a License No. 25ma04604900 (NJ). The current practice location address for Excalibur Healthcare is 1000 S Lenola RD, Building One, Suite 105, Maple Shade, NJ 08052-1630 and can be reached out via phone at 856-231-4300.

Provider Profile Details

NPI Number
1659727741
Provider Name
Excalibur Healthcare
Provider Entity Type
Organization
Address
1000 S Lenola RD, Building One, Suite 105, Maple Shade, NJ 08052-1630
Phone Number
856-231-4300
Primary Taxonomy
Clinic/Center, Radiology · 261QR0200X
Organization Subpart
No
Authorized Official
Ms. Gennie Lebron · Operations · 856-231-4300
Provider Enumeration Date
May 9, 2016
Last Update Date
May 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1000 S Lenola RD
Building One, Suite 105
Maple Shade, NJ 08052-1630
Zip
08052-1630
Phone Number
856-231-4300
Maple Shade, NJ 08052Get directions →

Provider Business Mailing Address Details

Address
1000 S Lenola RD
Building One, Suite 105
Maple Shade, NJ 08052-1630
City
Maple Shade
State
NJ
Zip
08052-1630
Phone Number
856-231-4300

License Information

License Number
25ma04604900
License State
NJ
Taxonomy
Clinic/Center, Radiology · 261QR0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Excalibur Healthcare?

The NPI number of Excalibur Healthcare is 1659727741. It was assigned on May 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Excalibur Healthcare?

Excalibur Healthcare is registered under the primary taxonomy Clinic/Center, Radiology (code 261QR0200X), licensed in NJ under license number 25ma04604900.

Where does Excalibur Healthcare practice?

The practice location is 1000 S Lenola RD, Building One, Suite 105, Maple Shade, NJ 08052-1630. The office can be reached at 856-231-4300 (phone).

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 1659727741 directly on the NPPES registry website.

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