| Behavioral Health Services Pc | |
|
45 Hartlander St East Brunswick NJ 08816-2668 | |
| (732) 735-5898 | |
| (732) 613-7197 |
| Full Name | Behavioral Health Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 45 Hartlander St, East Brunswick, New Jersey |
| Authorized Official Name and Position | Komal Saurabh Shah (PSYCHIATRIST) |
| Authorized Official Contact | 7327355898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Pc 45 Hartlander St East Brunswick NJ 08816-2668 Ph: (732) 735-5898 | Behavioral Health Services Pc 45 Hartlander St East Brunswick NJ 08816-2668 Ph: (732) 735-5898 |
| NPI Number | 1215126180 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 1153405303 |
|---|---|
| Medicare Enrollment ID | O20080226000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215126180 | NPI | - | NPPES |
| 1942388228 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA072314 (New Jersey) | Primary |
| Provider Name | Komal S Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942388228 PECOS PAC ID: 4688661168 Enrollment ID: I20040427001159 |
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