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Lisa Ann Medvetz

Surgeon Family Doctor - Addiction Medicine

1113 Hospital Dr Suite 100
Willingboro , New Jersey 08046-1103

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Lisa Ann Medvetz

Surgeon Family Doctor - Addiction Medicine

1113 Hospital Dr Suite 100
Willingboro , New Jersey 08046-1103

(856) 796-9397

Write a Review Save Call

Lisa Ann Medvetz

Surgeon Family Doctor - Addiction Medicine

1113 Hospital Dr Suite 100
Willingboro , New Jersey 08046-1103

(856) 796-9397 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Addiction Medicine
  • Surgeon

Languages spoken

  • English

Location

1113 Hospital Dr Suite 100 Willingboro , New Jersey 08046-1103

First Address

  • Lisa Ann Medvetz
  • 500 Grove St Suite 100
  • Haddon Heights, NJ
  • Zip : 08035-1761
  • Fax : (856) 796-9397
  • Phone : (856) 796-9200

Second Address

  • Lisa Ann Medvetz
  • 1113 Hospital Dr Suite 100
  • Willingboro, NJ
  • Zip : 08046-1103
  • Fax : (609) 835-5827
  • Phone : (609) 835-5821

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FAQs


Where did Lisa Ann Medvetz attend graduate school?

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Where did Lisa Ann Medvetz do her residency?

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Where did Lisa Ann Medvetz do her fellowship?

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Is Lisa Ann Medvetz board certified?

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What type of doctor is Lisa Ann Medvetz

Surgeon

In what state does Lisa Ann Medvetz practice in?

New Jersey

Where is Lisa Ann Medvetz ’s practice located?

1113 Hospital Dr Suite 100 , Willingboro, New Jersey, 08046-1103

What is Lisa Ann Medvetz ’s gender?

Female

Is Lisa Ann Medvetz a sole practitioner?

No

Is Lisa Ann Medvetz accepting new patients?

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What languages does Lisa Ann Medvetz speak?

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Does Lisa Ann Medvetz accept insurance?

Yes, Lisa Ann Medvetz accepts insurance

Does Lisa Ann Medvetz offers telemedicine?

Lisa Ann Medvetz has not indicated if she offers telemedicine

What is Lisa Ann Medvetz ’s professional license number?

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What is Lisa Ann Medvetz ’s NPI number?

1467451823

Does Lisa Ann Medvetz have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207QA0401X Family Doctor - Addiction Medicine MD060721-L PA
Y 208200000X Surgeon 25MA06954000 NJ
Y 208600000X Surgeon 25MA06954000 NJ
N 208200000X Surgeon 51460 KY
N 208600000X Surgeon 51460 KY
N 208200000X Surgeon MD060721L PA
N 208600000X Surgeon MD060721L PA

National Provider Identifier

NPI 1467451823
Provider Name Lisa Ann Medvetz
First Address Haddon Heights, NJ 08035-1761
Second Address Willingboro, NJ 08046-1103
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/07/2005
Last Update Date 18/07/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0017932090008 (05) PA
113499 BCBS (01) PA
8239606 (05) NJ
H16617 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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