| Atlantic Healthcare, Llc | |
|
107 E Mount Pleasant Ave Suite 107 Livingston NJ 07039-3027 | |
| (973) 535-3999 | |
| (973) 535-3222 |
| Full Name | Atlantic Healthcare, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 107 E Mount Pleasant Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Syed Fahim Alam (OWNER) |
| Authorized Official Contact | 9735353999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Healthcare, Llc 19 Overlook Rd Whitehouse Station NJ 08889-3370 Ph: (908) 575-7332 | Atlantic Healthcare, Llc 107 E Mount Pleasant Ave Suite 107 Livingston NJ 07039-3027 Ph: (973) 535-3999 |
| NPI Number | 1679605612 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 2062598121 |
|---|---|
| Medicare Enrollment ID | O20080417000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679605612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07915700 (New Jersey) | Primary |
| Provider Name | Syed F Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023083953 PECOS PAC ID: 4284656364 Enrollment ID: I20060206000000 |
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