Nicole M Cannon


Address: 205 Tuckerton Rd, Suite C, Medford, NJ 08055-8817

Nicole M Cannon (NPI# 1942451356, PAC ID# 1254513906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1942451356
PAC ID by PECOS 1254513906
Professional Enrollment ID I20180215002127
Full Name Nicole M Cannon
Address 205 Tuckerton Rd
Suite C
Medford
NJ 08055-8817
Gender F
Graduation Year 2008
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
205 Tuckerton Rd, Suite C, Medford, NJ 08055-8817

Organization Information

Office Location

Street Address 205 TUCKERTON RD
SUITE C
City MEDFORD
State NJ
Zip 08055-8817

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Jeffrey A Ranalli Internal Medicine The Estaugh T/a Medford Leas 1 Medford Leas, Medford, NJ 08055-2254
Terry L Fazio Nurse Practitioner The Estaugh T/a Medford Leas 1 Medford Leas, Medford, NJ 08055-2254
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Competitor

Search similar physicians

City MEDFORD
Zip Code 08055
Specialty PHYSICAL THERAPY
City + Specialty MEDFORD + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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