TAMARA ANNE LACOUTURE (NPI# 1740287721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740287721 |
| Entity Type | Individual |
| Full Name | TAMARA ANNE LACOUTURE |
| Credential | M.D. |
| Practice Address |
900 Medical Center Dr Ste 100 Sewell NJ 08080 |
| Mailing Address |
900 Medical Center Dr Ste 100 Sewell NJ 08080-2358 |
| Practice Telephone | 8565823008 |
| Mailing Telephone | 8565823008 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
25MA06314000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7990405 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 Route 73 S, Ste 401, Marlton, NJ 080534145 | 8567971507 | 8567971597 |
| Street Address |
900 MEDICAL CENTER DR STE 100 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760825327 | Dane Ryan Cohen | Radiology | 900 Medical Center Dr Ste 100, Sewell, NJ 08080 | 2013-04-14 |
| 1093051468 | Kennedy Medical Group Practice, P.C. | Radiology | 900 Medical Center Dr Ste 100, Sewell, NJ 08080-2358 | 2012-12-12 |
| 1205192747 | William Ross Green | Radiology | 900 Medical Center Dr Ste 100, Sewell, NJ 08080 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629157482 | George A Dawson | Radiology | 785 Totowa Rd, Totowa, NJ 07512-1517 | 2006-11-03 |
| 1619065059 | Alan Marc Shaiman | Radiology | 631 Grand St, Jersey City Radiation Oncology, Jersey City, NJ 07304-3451 | 2006-10-11 |
| 1477500528 | Andrew Ira Zablow | Radiology | 16 Eden Ln, Whippany, NJ 07981-1402 | 2006-05-27 |
| 1013102185 | Bay Radiation Oncology,p.l.l.c | Radiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2007-09-11 |
| 1154400984 | The Cancer Center PC | Radiology | 261 James St, Suite 2g, Morristown, NJ 07960 | 2006-11-03 |
| 1366521130 | Sam I Brown | Radiology | 785 Totowa Rd, Totowa, NJ 07512-1517 | 2006-11-03 |
| 1750493326 | North Jersey Radiation Oncology Associates, Pa | Radiology | 703 Main St, Radiation Oncology Dept., Paterson, NJ 07503-2621 | 2006-08-31 |
| 1447264684 | Hee Kyung Song | Radiology | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2006-07-27 |
| 1396769394 | Woomyung Choe | Radiology | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2006-07-26 |
| 1982641015 | Raquel Tamara Wagman | Radiology | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.