Advanced Care Center | |
57 Lakeview Ave Clifton NJ 07011-4041 | |
(347) 545-7962 | |
Not Available |
Full Name | Advanced Care Center |
---|---|
Speciality | Internal Medicine |
Location | 57 Lakeview Ave, Clifton, New Jersey |
Authorized Official Name and Position | Khaled Alalwani (PHYSICIAN /OWNER) |
Authorized Official Contact | 3475457962 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Advanced Care Center 57 Lakeview Ave Clifton NJ 07011-4041 Ph: (347) 545-7962 | Advanced Care Center 57 Lakeview Ave Clifton NJ 07011-4041 Ph: (347) 545-7962 |
NPI Number | 1255065660 |
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Provider Enumeration Date | 07/12/2022 |
Last Update Date | 01/20/2023 |
Medicare PECOS PAC ID | 8820472145 |
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Medicare Enrollment ID | O20220905000044 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255065660 | NPI | - | NPPES |
0574775 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Khaled Al Alwani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558701524 PECOS PAC ID: 8325335177 Enrollment ID: I20171115001137 |
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