Tara L Wyche-Bullock, MD
Family Medicine in Sicklerville, New Jersey
1720008931- Practice location
- 485 Williamstown RD, Sicklerville, NJ 08081-1777
- Phone
- 856-237-8100
- Fax
- 856-237-8042
- Last updated
- January 7, 2022
Tara L. Wyche-Bullock is a Family Medicine based in Sicklerville, NJ. Tara L. Wyche-Bullock practices in Sicklerville, NJ and has the professional credentials of MD. The NPI Number for Tara L. Wyche-Bullock is 1720008931 and holds a License No. 25ma07694800 (NJ). The current practice location address for Tara L. Wyche-Bullock is 485 Williamstown RD, Sicklerville, NJ 08081-1777 and can be reached out via phone at 856-237-8100 and via fax at 856-237-8042.
Provider Profile Details
- NPI Number
- 1720008931
- Provider Name
- Tara L. Wyche-Bullock
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 485 Williamstown RD, Sicklerville, NJ 08081-1777
- Phone Number
- 856-237-8100
- Fax Number
- 856-237-8042
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 20, 2006
- Last Update Date
- January 7, 2022
- Certification Date
- January 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 485 Williamstown RD
Sicklerville, NJ 08081-1777 - City
- Sicklerville
- State
- New Jersey
- Zip
- 08081-1777
- Phone Number
- 856-237-8100
- Fax Number
- 856-237-8042
Provider Business Mailing Address Details
- Address
- 155 Bridgeton Pike
Mullica Hill, NJ 08062-2669 - City
- Mullica Hill
- State
- NJ
- Zip
- 08062-2669
- Phone Number
- 856-223-0500
- Fax Number
- 856-223-1098
License Information
- License Number
- 25ma07694800
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Sicklerville, NJ
View all Family Medicine providers in Sicklerville →- Dr. Harry W Sharp Jr., DOFamily Medicine · NPI 1235231044
- Dr. Karen A Calabrese, DOFamily Medicine · NPI 1154377687
- Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health AllianceFamily Medicine · NPI 1902217607
- Ms. Josette C Palmer, MDFamily Medicine · NPI 1104860154
- Patient First Maryland Physicians Group, P.c.Family Medicine · NPI 1013390426
- Patient First New Jersey Physicians Group LLCFamily Medicine · NPI 1588447171
Frequently Asked Questions
What is the NPI number of Tara L Wyche-Bullock, MD?
The NPI number of Tara L Wyche-Bullock, MD is 1720008931. It was assigned on July 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Tara L Wyche-Bullock, MD?
Tara L Wyche-Bullock, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25ma07694800.
Where does Tara L Wyche-Bullock, MD practice?
The practice location is 485 Williamstown RD, Sicklerville, NJ 08081-1777. The office can be reached at 856-237-8100 (phone) or 856-237-8042 (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 1720008931 directly on the NPPES registry website.