| Preakness Medical Care, Llc | |
|
1466 Ratzer Rd Wayne NJ 07470-2430 | |
| (973) 432-0104 | |
| Not Available |
| Full Name | Preakness Medical Care, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1466 Ratzer Rd, Wayne, New Jersey |
| Authorized Official Name and Position | Rajesh M Patel (PHYSICIAN) |
| Authorized Official Contact | 9734320104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preakness Medical Care, Llc 1466 Ratzer Rd Wayne NJ 07470-2430 Ph: (973) 432-0104 | Preakness Medical Care, Llc 1466 Ratzer Rd Wayne NJ 07470-2430 Ph: (973) 432-0104 |
| NPI Number | 1962637280 |
|---|---|
| Provider Enumeration Date | 05/17/2009 |
| Last Update Date | 05/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962637280 | NPI | - | NPPES |
| 02074546 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA08128400 (New Jersey) | Primary |
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