Provider Demographics
NPI:1922192749
Name:HOELZER, DENNIS J (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:J
Last Name:HOELZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 411
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-3250
Practice Address - Fax:856-968-8468
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA717462086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3K6087OtherHEALTHNET
NJ1134718OtherHORIZON NJ HEALTH
NJ3655105Medicaid
NJ01000388200OtherAMERICHOICE
NJ458595OtherPA BS HIGHMARK
NJ1880179OtherCIGNA
NJ458595OtherAMERIHEALTH PPO/ PABS
NJ0482817000OtherAMERIHEALTH/KEYSTONE/IBC
NJ2530905OtherAETNA
NJ29416OtherUNIVERSITY HEALTH PLAN
NJP2356030OtherOXFORD
NJ747876OtherUNITED HEALTHCARE
F04107Medicare UPIN
NJ3655105Medicaid