Proactive Health & Wellness | |
714 W White Horse Pike Egg Harbor City NJ 08215-3838 | |
(609) 732-0101 | |
Not Available |
Full Name | Proactive Health & Wellness |
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Speciality | Preventive Medicine |
Location | 714 W White Horse Pike, Egg Harbor City, New Jersey |
Authorized Official Name and Position | Nancy Fried (MEDICAL DIRECTOR) |
Authorized Official Contact | 6097320101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Proactive Health & Wellness 714 W White Horse Pike Egg Harbor City NJ 08215-3838 Ph: (609) 732-0101 | Proactive Health & Wellness 714 W White Horse Pike Egg Harbor City NJ 08215-3838 Ph: (609) 732-0101 |
NPI Number | 1518735836 |
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Provider Enumeration Date | 12/15/2023 |
Last Update Date | 12/15/2023 |
Certification Date | 12/15/2023 |
Medicare PECOS PAC ID | 6507201530 |
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Medicare Enrollment ID | O20240229003325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518735836 | NPI | - | NPPES |
Provider Name | Nancy J Fried |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659036150 PECOS PAC ID: 1355786286 Enrollment ID: I20240229004012 |
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