Advanced Professional Healthcare Services, Llc | |
333 N Broad St Ste 205 Elizabeth NJ 07208-3706 | |
(908) 576-7617 | |
Not Available |
Full Name | Advanced Professional Healthcare Services, Llc |
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Speciality | Nurse Practitioner |
Location | 333 N Broad St Ste 205, Elizabeth, New Jersey |
Authorized Official Name and Position | Chukwudi Orji (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9085767617 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Professional Healthcare Services, Llc 333 N Broad St Ste 205 Elizabeth NJ 07208-3706 Ph: () - | Advanced Professional Healthcare Services, Llc 333 N Broad St Ste 205 Elizabeth NJ 07208-3706 Ph: (908) 576-7617 |
NPI Number | 1922641984 |
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Provider Enumeration Date | 10/23/2019 |
Last Update Date | 01/05/2020 |
Certification Date | 01/05/2020 |
Medicare PECOS PAC ID | 0244669224 |
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Medicare Enrollment ID | O20200327000233 |
Identifier | Type | State | Issuer |
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1922641984 | NPI | - | NPPES |
Provider Name | Maureen Ndu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447725395 PECOS PAC ID: 5890026496 Enrollment ID: I20191014000468 |
Provider Name | Chukwudi Orji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740762996 PECOS PAC ID: 1153652755 Enrollment ID: I20191014000479 |
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